A Case of the Third Nerve Palsy in a Patient with Orbital Aspergillosis.
10.3341/jkos.2014.55.1.149
- Author:
Sung Il KIM
1
;
Hee Young CHOI
;
Ji Woong LEE
Author Information
1. Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. glaucoma@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Orbital aspergillosis;
Third nerve palsy
- MeSH:
Aged;
Amphotericin B;
Anti-Bacterial Agents;
Aspergillosis*;
Aspergillus;
Ethmoid Bone;
Follow-Up Studies;
Headache;
Humans;
Magnetic Resonance Imaging;
Male;
Nasal Cavity;
Oculomotor Nerve Diseases*;
Orbit*;
Recurrence;
Sinusitis;
Speech Disorders;
Vision Disorders
- From:Journal of the Korean Ophthalmological Society
2014;55(1):149-154
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of orbital aspergillosis with third nerve palsy. CASE SUMMARY: A 75-year-old male presented with abrupt onset of visual impairment, extraocular movement limitation, and ptosis. The patient previously experienced rhinolalia and headache and was diagnosed with sinusitis 2 months prior, and was treated with oral antibiotics for 1 week. Orbital magnetic resonance imaging revealed a mass with bone erosion including the nasal cavity, ethmoid bone, and left orbit suggestive of fugal sinusitis. Aspergillus was detected histopathologically in the mass which was removed by endoscopic surgery. Amphotericin B was administered intravenously for 7 days along with voriconazole. There was no recurrence during the follow-up period. Extraocular movement limitations and ptosis were recovered postoperatively. CONCLUSIONS: The present study results indicate that visual impairment and third nerve palsy can develop in a patient with orbital aspergillosis.
