Sinus-MRI help please

[Wilma Jenks]

I know sinus infections can be a problem, but can someone read the following MRI description and tell me if it looks so severe that it would have caused my child to be like a raging animal, because it caused PANDAS? TU

 

There is mucosal thickening of the left maxillary sinus and of the left

ethmoid air cells, The remaining paranasal sinuses are within normal

limits.

IMPRESSION:

Sinus inflammatory changes in the maxillary sinus and ethmoid air cells

otherwise unremarkable MRI examination the brain with no abnormal

enhancement or structural abnormality,

[peglem]

Anything inflammatory contributes to PANDAS.

[colleenrn]

I would think that the mucosal thickening was caused by an infection and if that infection was strep, then i would think that could cause ther PANDAS symptoms for sure.

Colleen

[chodnett]

how do you get rid of infection in sinuses?

[kimballot]

I know sinus infections can be a problem, but can someone read the following MRI description and tell me if it looks so severe that it would have caused my child to be like a raging animal, because it caused PANDAS? TU

 

There is mucosal thickening of the left maxillary sinus and of the left

ethmoid air cells, The remaining paranasal sinuses are within normal

limits.

IMPRESSION:

Sinus inflammatory changes in the maxillary sinus and ethmoid air cells

otherwise unremarkable MRI examination the brain with no abnormal

enhancement or structural abnormality,

 

Hello - My understanding is that mucosal thickening occurs over time - either in response to chronic infection or allergies. Either way, inflammation can cause a breech in the blood-brain barrier and result in PITAND exacerbation.

 

If you have mucosal thickening in the maxillary and ethmoid sinus, then there also is likely reduced drainage, which sets up a warm and moist environment and high risk of bacteria forming to make an infection. The ethmoid sinus is between the nose and the eye and it drains into the maxillary sinus which is by the front of the cheek.

 

MRIs do not give a lot of detail about sinuses (CAT scans give more detail but also have more radiation). If you are seeing mucosal thickening in an MRI there may be a small infection that would be picked up on CT scan. Hard to say.

 

DO NOT ignore this. Get to a good ENT or allergist and get treatment. Dr. B told me that for my son with PANDAS with sinus infections we needed to:

 

a. Treat and remove any infection

b. Aggressively treat allergies and inflammation

c. Use IVIG to reset the system if needed after allergy treatments.

 

PM me if you want more details.

 

Best wishes

[kimballot]

how do you get rid of infection in sinuses?

Sinus infections are tricky to clear as there can be more than one cause. You might find this thread helpful.

 

http://www.latitudes.org/forums/index.php?showtopic=9549&st=0&p=80199&hl=+chronic%20+sinusitis&fromsearch=1entry80199