Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации10343Conference ProceedingsChildren’s brain abscesses: connection with otorhinolaryngologic pathology and seasonality of the diseaseKartashovIvan Aleksandrovich<p>5th year student of the Pediatric Faculty</p>ikartashowi@yandex.ruhttps://orcid.org/0000-0003-1463-4509KozlitinaTatiana Nikolayevna<p>Candidate of medical sciences, neurosurgeon, Head of the neurosurgical department Voronezh Regional Children’s Clinical Hospital №2</p>t.kozlitina@yandex.ruhttps://orcid.org/0009-0005-1096-8968KartashovaIrina Aleksandrovna<p>radiologist of Voronezh Regional Children’s Clinical Hospital №2</p>kartashowa.ira@yandex.ruhttps://orcid.org/0009-0005-2117-2914KovalevEvgeny Igorevich<p>Neurosurgeon of Voronezh Regional Children’s Clinical Hospital №2</p>medoreshek@yandex.ruhttps://orcid.org/0009-0008-7889-9470KoryashkinPavel Vladimirovich<p>Assistant of Department of Pediatric Surgery, Burdenko Voronezh State Medical University.</p>koryashkinpavel@mail.ruhttps://orcid.org/0000-0002-6447-5035Voronezh N. N. Burdenko State Medical UniversityVoronezh Regional Children’s Clinical Hospital №22504202514S19419422302202502042025Copyright © 2025, Kartashov I.A., Kozlitina T.N., Kartashova I.A., Kovalev E.I., Koryashkin P.V.2025<p>Childrens brain abscesses are a life-threatening state often connected with ENT pathologies (frontitis, maxillary sinusitis, ethmoiditis), which are often diagnosed late. Aim. To improve early diagnosis of abscesses associated with ENT diseases. Materials and methods: 31 cases of diseases (1 month-15 years old) with brain abscesses admitted to neurosurgical department of Voronezh Regional Childrens Clinical Hospital №2 in 2005-2024 were analyzed. The following were used to determine the criteria of correlation: anamnesis analysis, clinical and laboratory examination, CT of the sinuses. Results: 67.7% of abscesses were due to ENT pathology. Emergency surgical treatment was performed in 61.3% of children. The peak of incidence is in spring (52%) and autumn (43%). The main symptoms were headache (76%), fever (62%), increased ERS (mean 30.5 mm/h), focal neurological symptoms (57%). Conclusion: seasonality (autumn-spring), combination of ENT disease with severe headache and elevated ESR are main risk criteria for abscess. Pediatricians and otorhinolaryngologists need to be more alert during these periods for timely diagnosis and prevention of complications. Early detection and treatment of ENT pathologies is critical to reduce the risk of childrens brain abscesses.</p>sinusitis-associated abscessintracranial complicationsseasonalitycomputed tomography[0. Smiljkovic M, Tat J, Richardson SE, et al. A 20-Year Study of Intracranial Pyogenic Complications of Sinusitis in Children. Pediatr Infect Dis J. 2024;43(2):91-96. doi:10.1097/INF.0000000000004140][1. Mameli C, Genoni T, Madia C, Doneda C, Penagini F, Zuccotti G. Brain abscess in pediatric age: a review. Childs Nerv Syst. 2019;35(7):1117-1128. doi:10.1007/s00381-019-04182-4][2. Gilard V, Beccaria K, Hartley JC, et al. Brain abscess in children, a two-centre audit: outcomes and controversies. Arch Dis Child. 2020;105(3):288-291. doi:10.1136/archdischild-2018-316730][3. Duarte MJ, Kozin ED, Barshak MB, et al. Otogenic brain abscesses: A systematic review. Laryngoscope Investig Otolaryngol. 2018;3(3):198-208. Published 2018 Apr 25. doi:10.1002/lio2.150][4. Bodilsen J, Dalager-Pedersen M, Nielsen H. Long-term Mortality and Risk of Epilepsy in Children and Young Adults With Brain Abscess. Pediatr Infect Dis J. 2020;39(10):877-882. doi:10.1097/INF.000000000000273]