Two Cases of Rhino-Orbitocerebral Mucormycosises that Manifested as Noninflammatory Oculomotor Nerve Palsy.
- Author:
Ki Seok CHO
1
;
Ju Yeoun LEE
Author Information
1. Department of Ophthalmology, Sacred Heart Hospital, Hallym University College of Medicine, Kyeonggi-do, Korea. ljy690725@hanmail.net
- Publication Type:Case Report
- Keywords:
DM;
Mucormycosis;
Third Nerve palsy
- MeSH:
Aged;
Biopsy;
Emergencies;
Exophthalmos;
Female;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Mucormycosis*;
Mydriasis;
Necrosis;
Neurologic Examination;
Oculomotor Nerve Diseases*;
Oculomotor Nerve*;
Orbit;
Orbital Cellulitis;
Sinusitis;
Strabismus;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2003;44(8):1919-1923
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Rhino-orbitocerebral mucormycosis is the disease that cause orbital cellulitis, orbital apex syndrome, and orbital necrosis. We report two cases of mucormycosis that began with only noninflammatory oculomotor nerve palsy. METHODS: 74-year-old man and 53-year-old woman with DM visited our hospital for sudden ptosis, mydriasis, and paralytic strabismus. MRI scan and other neurological examinations were negative except mild sinusitis. Patients were diagnosed as complete third nerve palsy. RESULTS: A few days later, they developed orbital apex syndrome with exophthalmos and abrupt reduction of visual acuity. Emergency biopsy of sinusitis was done, and revealed mucormycosis. CONCLUSIONS: Sudden oculomotor nerve palsy in chronic debilitating patients with DM and sinusitis should be suspected as prodrome of rhino-orbito-cerebral mucormycosis.
