A Case of Orbital Apex Syndrome Related to Sphenoid Fungal Sinusitis.
10.3342/kjorl-hns.2010.53.10.644
- Author:
Hyung Rok LEE
1
;
Hong Jun KIM
;
Sang Yeob SEONG
;
Jung Hyun CHANG
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Sphenoidal sinusitis;
Orbital apex syndrome (OAS);
Cavernous sinus;
Aspergillosis
- MeSH:
Abducens Nerve;
Aspergillosis;
Blindness;
Cavernous Sinus;
Central Nervous System;
Communicable Diseases;
Exophthalmos;
Eye;
Female;
Humans;
Oculomotor Nerve;
Ophthalmoplegia;
Optic Nerve;
Orbit;
Paranasal Sinuses;
Pupil;
Sinusitis;
Sphenoid Sinusitis;
Trigeminal Nerve;
Trochlear Nerve
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2010;53(10):644-647
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Orbital apex syndrome (OAS) has been described previously as a syndrome involving damage to the oculomotor nerve, trochlear nerve, abducens nerve, and ophthalmic branch of the trigeminal nerve in association with optic nerve dysfunction. The conditions and symptoms of OAS are characterized by blindness, fixed dilated pupils, proptosis, ptosis of the eye and ophthalmoplegia. Infectious diseases involving the central nervous system, paranasal sinuses, and periorbital structures may lead to an OAS. We recently experienced a rare case of sphenoidal aspergillosis, which damaged the adjacent cavernous sinus structures and led to the definite symptom of OAS in a 75 year-old female. We present this rare case with a brief review of these disease's entities.
