A Case of Aspergillus Clival Abscess Treated by Endoscopic Removal / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
; : 52-56, 2015.
Article
em Ko
| WPRIM
| ID: wpr-644372
Biblioteca responsável:
WPRO
ABSTRACT
Aspergillus clival abscess, especially without a sphenoid sinus lesion, is a very rare infection of central nervous system. In this report, we describe the successful treatment of a patient with aspergillus clival abscess. A 63-year-old man was referred to our hospital with the diagnosis of sphenoid mass lesion in magnetic resonance image accompanied by headache and diplopia. The computed tomography scan revealed a clival cystic lesion without connection with the sphenoid sinus. The patient underwent the endoscopic endonasal clival approach and histopathological examination revealed aspergillosis. Postoperatively, the patient was given IV amphotericin-B for 2 weeks and oral voriconazole for 3 months. After surgery, patient's headache and diplopia disappeared. Aspergillus abscess originating from the skull base is rare but has a high mortality rate. Histopathological confirmation via endonasal approach and intensive antifungal therapy should be started for a successful treatment.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Aspergilose
/
Aspergillus
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Seio Esfenoidal
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Sistema Nervoso Central
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Mortalidade
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Base do Crânio
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Fossa Craniana Posterior
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Diagnóstico
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Abscesso
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Diplopia
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Ano de publicação:
2015
Tipo de documento:
Article