Isolated Sphenoid Sinusitis

Krishnan, RajPrakash Dharmapuri Yaadhava; Kumarasekaran, Pragadeeswaran; Raja, Roopak Visakan

doi:10.1007/s12070-017-1109-2

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Lesions in the sphenoidal sinus are also common, but it is rare to see the lesion localized to the sphenoid sinus. 2) In case the lesion is localized in the sphenoid sinus, characteristic symptoms include headache and ocular symptoms, whereas nasal congestion and rhinorrhea are rare 3) ; therefore, patients typically visit a neurologist for the first medical consultation. Diseases with the main lesion in the sphenoid sinus are usually inflammatory diseases or tumors, whereas mycoses are rare.…”

Section: Discussionmentioning

confidence: 99%

A Case of Invasive Sphenoid Sinus Aspergillosis Presenting as Oculomotor Nerve Palsy in a Healthy Patient

Fujimoto

Morofuji

Hiu

et al. 2021

NMC Case Report Journal

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Invasive sphenoid sinus aspergillosis is a rare infection and usually affecting immunocompromised patients. We describe an invasive sphenoid sinus aspergillosis patient with immunocompetent who present progressive ocular dysfunctions. A 66-year-old woman with no history of immune dysfunction was referred to our hospital with orbital complications. Computed tomography (CT) scan and magnetic resonance imaging (MRI) showed a mass lesion extending from the left orbital apex to the sphenoid sinus. Inflammatory diseases were not suspected by laboratory findings, but a transnasal endoscopic biopsy revealed sphenoid sinus aspergillosis. After treatment of antifungal medication, this patient showed improvement and no sign of recurrence during the follow-up period. Diagnosis of invasive sphenoid sinus aspergillosis in an immunocompetent, healthy individual, was challenging. However, if patients have sinus wall deformities and orbital complications, early surgery is necessary to improve their prognosis.

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Section: Discussionmentioning

confidence: 99%