Orbital Apex Syndrome Related to Isolated Sphenoid Fungal Sinusitis
Journal of Rhinology
; : 123-126, 2013.
Article
em En
| WPRIM
| ID: wpr-133782
Biblioteca responsável:
WPRO
ABSTRACT
Orbital apex syndrome (OAS) has been described as malfunction of cranial nerve II in the optic canal and cranial nerves III, IV, V1, and VI in the superior orbital fissure due to vascular compromise, compression, or infiltration. Symptoms include ophthalmoplegia, ptosis, decreased corneal sensation, and vision loss. There are many potential causes of OAS including inflammation, infection, iatrogenic, neoplasm, vascular disease, or trauma. Among these, however, fungal sinusitis is one of the more rarely reported etiologies. Infections of the sphenoid sinuses typically occur in conjunction with other paranasal sinuses, while isolated sphenoid sinusitis is uncommon. In this case report, we describe OAS due to isolated sphenoid fungal sinusitis in a 67-year old man who presented with periorbital pain, acute vision loss, and ophthalmoplegia. He was treated surgically and was given postoperative antifungal agents as well as steroids for three months. We present this rare case along with a literature review of OAS.
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Índice:
WPRIM
Assunto principal:
Nervo Óptico
/
Órbita
/
Seios Paranasais
/
Sensação
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Sinusite
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Seio Esfenoidal
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Esteroides
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Sinusite Esfenoidal
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Oftalmoplegia
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Neoplasias Vasculares
Idioma:
En
Revista:
Journal of Rhinology
Ano de publicação:
2013
Tipo de documento:
Article