Skip to main content
. 2024 Mar 8;40(4):1221–1237. doi: 10.1007/s00381-024-06332-9

Table 4.

Presenting symptoms, primary site of infection, and primary type of complication

Year Fever Other symptoms* Paranasal sinus Other location Extradural empyema Subdural empyema Brain abscess Multiple locations^ Venous sinus thrombosis
2017 22 (73%) 24 (80%) 24 (80%) 6 (20%) 8 (27%) 11 (37%) 8 (27%) 4 (13%) 2 (7%)
2018 24 (80%) 27 (90%) 23 (77%) 7 (23%) 12 (40%) 12 (40%) 5 (17%) 5 (17%) 6 (20%)
2019 19 (76%) 19 (76%) 14 (56%) 11 (44%) 9 (36%) 10 (40%) 4 (16%) 5 (20%) 6 (24%)
2020 13 (76%) 17 (100%) 14 (82%) 3 (18%) 7 (41%) 6 (35%) 3 (17%) 4 (23%) 2 (11%)
2021 16 (70%) 20 (87%) 17 (74%) 6 (26%) 8 (35%) 8 (25%) 4 (17%) 3 (13%) 1 (4%)
2022 53 (91%) 51 (88%) 47 (81%) 11 (19%) 23 (40%) 26 (45%) 9 (15%) 21 (36%) 9 (15%)
2023 54 (76%) 56 (79%) 42 (59%) 29 (41%) 30 (42%) 23 (32%) 13 (18%) 15 (21%) 18 (25%)
Overall 201 (79%) 214 (84%) 181 (71%) 73 (29%) 97 (38%) 96 (37%) 42 (17%) 57 (22%) 44 (17%)

*Hemiparesis, cranial nerve palsy, aphasia, ataxia, cerebellar syndrome, fatigue, and confusion in 80 cases (31%), headache in 107 cases (42%), frontal/orbital/retro-auricular swelling or signs of orbital cellulitis in 41 cases (16%), seizures and vomiting in 38 cases each (15%), drowsiness/lethargy/coma in 33 cases (12%), ear pain in 15 cases (6%), nasal obstruction/rhinorrhea in 8 cases (3%), meningitis signs/symptoms in 7 cases (2.7%), anorexia in 4 cases (1.5%), otorrhea and diarrhea in 3 cases each (1.1%), hydrocephalus in one case (0.5%)

^Extradural ± subdural ± brain abscess