A Case of Isolated Aspergillus Sphenoid Sinusitis.
- Author:
Dae Hyun KIM
1
;
Hyo Kyung KIM
;
Jung Kwon NAM
;
Ji Gang PARK
Author Information
1. Department of Neurology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. circo@lycos.co.kr
- Publication Type:Case Report
- Keywords:
Aspergillosis;
Sphenoid sinus;
Isolated sphenoiditis
- MeSH:
Abducens Nerve Diseases;
Aspergillosis;
Aspergillus*;
Brain;
Diagnosis, Differential;
Female;
Headache;
Humans;
Hyphae;
Immunocompromised Host;
Magnetic Resonance Imaging;
Middle Aged;
Sphenoid Sinus*;
Sphenoid Sinusitis*
- From:Journal of the Korean Neurological Association
2005;23(3):402-404
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Isolated Aspergillus infection originating within the sphenoid sinus is most often associated with the immunocompromised patient. A 53-year-old healthy woman presented with a 3-week history of headache and subsequent left 6th nerve palsy. Brain MRI demonstrated a space-occupying lesion within sphenoid sinus. Histological analysis through transnasal-transsphenoidal approach revealed numerous Aspergillus hyphae. Postoperatively, all symptoms resolved completely without anti-fungal treatment. Isolated Aspergillus sphenoid sinusitis should be routinely included in the differential diagnosis of patients with acute or subacute headache, even in nonimmunosuppressed patients.
