Rapidly Progressive Rhino-orbito-cerebral Mucormycosis Complicated with Unilateral Internal Carotid Artery Occlusion: A Case Report.
10.5469/neuroint.2012.7.1.45
- Author:
Min Sun BAE
1
;
Eui Jong KIM
;
Kyung Mi LEE
;
Woo Suk CHOI
Author Information
1. Department of Radiology, Kyung Hee University Hospital, Kyung Hee University, School of Medicine, Seoul, Korea. euijkim@hanmail.net
- Publication Type:Case Report
- Keywords:
Mucormycosis;
Carotid artery, Internal;
Fungal sinusitis
- MeSH:
Angiography;
Brain;
Carotid Artery, Internal;
Cranial Fossa, Anterior;
Ethmoid Sinus;
Ethmoid Sinusitis;
Follow-Up Studies;
Fungi;
Humans;
Immunocompromised Host;
Mucormycosis;
Nasal Mucosa;
Orbit;
Paranasal Sinuses;
Sinusitis
- From:Neurointervention
2012;7(1):45-49
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rhinocerebral mucormycosis is an acute fulminant opportunistic fungal infection usually seen in diabetic or immunocompromised patients. The fungi that cause mucormycosis inoculate the nasal mucosa and may spread to the paranasal sinuses, orbit, and brain. Our patient initially presented with mild ethmoid sinusitis. At that time, brain MRI and contrast-enhanced MR angiography were grossly normal. However, aggravation of sinusitis with extension to the right orbit and anterior cranial fossa rapidly developed within two months. Moreover, an occlusion of the right internal carotid artery was combined. We report a case of a pathologically-proven rhino-orbital-cerebral mucormycosis with serial follow-up imaging for over one year.
