Surgical treatment of patients with nasal and paranasal sinus conditions associated with seizure syndrome

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Abstract

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.

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About the authors

Dmytrii S. Boenko

Donetsk State Medical University named after M. Gorky

Author for correspondence.
Email: dboenko@gmail.com
ORCID iD: 0009-0007-8424-0341
SPIN-code: 7579-0833

MD, Dr. Sci. (Medicine)

Russian Federation, Donetsk

Irina A. Talalaenko

Donetsk State Medical University named after M. Gorky

Email: i.talalaenko@yandex.ru
ORCID iD: 0009-0008-8530-4201
SPIN-code: 8795-3177

MD, Cand. Sci. (Medicine)

Russian Federation, Donetsk

Nikolay D. Boenko

Donetsk State Medical University named after M. Gorky

Email: ndboenko@gmail.com
ORCID iD: 0009-0006-1463-3513
Russian Federation, Donetsk

Victor N. Ginkut

Donetsk State Medical University named after M. Gorky

Email: viknikgin@mail.ru
ORCID iD: 0009-0009-4634-8268
SPIN-code: 1164-4472

MD, Cand. Sci. (Medicine)

Russian Federation, Donetsk

Victoriya A. Chubar

Donetsk State Medical University named after M. Gorky

Email: vikchubar@yandex.ru
ORCID iD: 0009-0009-1090-2028
Russian Federation, Donetsk

Ludmila R. Talalaenko

Donetsk State Medical University named after M. Gorky

Email: i.talalaenko@yandex.ru
ORCID iD: 0009-0007-4940-7417
Russian Federation, Donetsk

Sergey D. Boenko

Donetsk State Medical University named after M. Gorky

Email: dboenko@gmail.com
ORCID iD: 0009-0006-0877-8978
Russian Federation, Donetsk

References

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2. Fig. 1. Patient R. Cone beam tomography of the paranasal sinuses in coronal (a), axial (b) and sagittal (c) projections. Arrows indicate areas of potential induction of abnormal reflexes: the left nasal septal crest, in contact with the lateral nasal wall, basal cystogranuloma of the 26th tooth, cyst of the right maxillary sinus, adenoid vegetations on the nasopharyngeal vault

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3. Fig. 2. Patient S. Cone beam tomography of the paranasal sinuses in coronal (a), axial (b) and sagittal (c) projections. The mucosa of both maxillary sinuses and the right ethmoidal labyrinth are edematous and hypertrophic. The left sphenoid sinus is completely dark. Arrows indicate areas of potential induction of abnormal reflexes: contacts of the nasal septal crests with the inferior and middle nasal tubinates, and inflammatory changes in the mucosa of the maxillary and sphenoid sinuses

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