A Case of Fungal Infection in the Onodi Cell with Diplopia / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 792-794, 2014.
Article
in Korean
| WPRIM
| ID: wpr-644534
ABSTRACT
The orbital apex syndrome is a very rare complication of fungal sinusitis, as well as of other conditions, and is characterized by blindness, diplopia, proptosis of the eye and ophthalmoplegia. We present a case of diplopia caused by a fungal ball in the Onodi cell. A 62-year-old woman, diagnosed with orbital apex syndrome and suffering from ophthalmalgia and diplopia in the right eye, was presented to our outpatient clinic. Computed tomography showed a soft tissue lesion occupying the right Onodi cell with chronic inflammation. Patients who have an Onodi cell carry a high risk for optic nerve injury, so endoscopic sinus surgery using navigation was performed. Histopathology examination confirmed the diagnosis of a fungal ball. We experienced a rare case of a fungal ball in the Onodi cell, which caused damage to the adjacent cavernous sinus structure and led to diplopia and orbital pain. We present this case with a brief review of these disease entities.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Sinusitis
/
Cavernous Sinus
/
Ophthalmoplegia
/
Exophthalmos
/
Blindness
/
Optic Nerve Injuries
/
Diagnosis
/
Diplopia
/
Ambulatory Care Facilities
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2014
Type:
Article
Similar
MEDLINE
...
LILACS
LIS