A Case of Aspergillus Clival Abscess Treated by Endoscopic Removal.
10.3342/kjorl-hns.2015.58.1.52
- Author:
Jong Sei KIM
1
;
Kyu Sun JANG
;
Yoon Kyoung SO
;
Sang Duk HONG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kkam97@gmail.com
- Publication Type:Case Report
- Keywords:
Aspergillosis;
Clivus;
Endoscopy
- MeSH:
Abscess*;
Aspergillosis;
Aspergillus*;
Central Nervous System;
Cranial Fossa, Posterior;
Diagnosis;
Diplopia;
Endoscopy;
Headache;
Humans;
Middle Aged;
Mortality;
Skull Base;
Sphenoid Sinus
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2015;58(1):52-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aspergillus clival abscess, especially without a sphenoid sinus lesion, is a very rare infection of central nervous system. In this report, we describe the successful treatment of a patient with aspergillus clival abscess. A 63-year-old man was referred to our hospital with the diagnosis of sphenoid mass lesion in magnetic resonance image accompanied by headache and diplopia. The computed tomography scan revealed a clival cystic lesion without connection with the sphenoid sinus. The patient underwent the endoscopic endonasal clival approach and histopathological examination revealed aspergillosis. Postoperatively, the patient was given IV amphotericin-B for 2 weeks and oral voriconazole for 3 months. After surgery, patient's headache and diplopia disappeared. Aspergillus abscess originating from the skull base is rare but has a high mortality rate. Histopathological confirmation via endonasal approach and intensive antifungal therapy should be started for a successful treatment.
