Surgical treatment of patients with nasal and paranasal sinus conditions associated with seizure syndrome
Dmytrii S. Boenko , Irina A. Talalaenko , Nikolay D. Boenko , Victor N. Ginkut , Victoriya A. Chubar , Ludmila R. Talalaenko , Sergey D. Boenko
Folia Otorhinolaryngologiae et Pathologiae Respiratoriae ›› 2024, Vol. 30 ›› Issue (3) : 242 -249.
Surgical treatment of patients with nasal and paranasal sinus conditions associated with seizure syndrome
There are few publications in the current medical literature that address the effects of ENT conditions on the onset and clinical course of seizure syndrome. The authors present and evaluate two interesting case reports on the treatment of patients with chronic rhinologic conditions in combination with epilepsy and seizures. In both patients, successful surgical treatment had a positive effect on the clinical course of the convulsive states; the seizures resolved completely, headaches and facial pain disappeared, and the emotional state improved. Endonasal surgery was made possible by the use of modern medical technology such as cone beam computer tomography and endoscopic surgery. It was concluded that abnormal changes in the intranasal structures and paranasal sinuses of both the anterior and posterior groups may induce seizures in epileptic syndrome. Clinical improvement in patients with epileptic seizures is achieved by treating the intranasal structures, normalizing nasal breathing and cleaning the paranasal sinuses. The problem of rhinogenic induction of convulsive states requires further research.
intranasal structures / paranasal sinuses / epilepsy / seizure syndrome
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