Full Text
Full text is available in PDF
Background:
Fungal sinusitis of isolated sphenoid sinus is a rare entity. Most of the sufferers referred with complications since the primary manifestations are non-characteristic.
Archives of Clinical Infectious Diseases
Infectious Diseases and Tropical Medicine Research Center, SBUMS
e-ISSN 2345-2641
Unilateral Abducens Nerve Palsy Secondary to Isolated Fungal Sphenoidal Sinusitis
Authors
1Department of ENT, Shaheed Beheshti University of Medical Sciences, Tehran, IR Iran
*Corresponding Author: Department of ENT, Shaheed Beheshti University of Medical Sciences, Tehran, IR Iran. Email:, vazir_nezami@yahoo.com. Email: vazir_nezami@yahoo.com
Published online:Jan 31, 2008
Article type:Case Report
How to Cite:Vazirnezami M, Moghaddasi H, Raad N. Unilateral Abducens Nerve Palsy Secondary to Isolated Fungal Sphenoidal Sinusitis. Arch Clin Infect Dis. 2008;3(1):. doi:
Abstract
Case presentation:
We describe a 40-year old woman presenting with severe headache, diplopia, and limited right-eye movement. Further studies proposed isolated sphenoidal sinusitis, for which she underwent endoscopic sphenoidotomy. Microbiologic studies revealed extramucosal contamination with a saprophytic mucor. She enjoyed healthy life 5 weeks later.
Conclusion:
Prompt diagnosis and treatment of isolated sphenoidal sinusitis is of utmost importance since it has noncharacteristic manifestations. Noninvasive fungal sphenoidal sinusitis is best treated with sphenoidotomy. It seemed that abducens nerve palsy was associated with total sinus obstruction since patient condition improved promptly following the sphenoidotomy.
Highlights
Copyright
© 2008, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Similar Articles
8
Oct
2017
Reversible Peripheral Third Nerve Palsy Following Avulsion of the Sphenoid Wing Due to Blunt Head Injury: A Case Report and Review of Literature
Mohammadmostafa Harifi,
Amin Tavallayi,
Mohamad Shirani,
Abbas Amirjamshidi,
Maysam Alimohamadi
Harifi M, Tavallayi A, Shirani M, Amirjamshidi A, Alimohamadi M. Reversible Peripheral Third Nerve Palsy Following Avulsion of the Sphenoid Wing Due to Blunt Head Injury: A Case Report and Review of Literature. Arch Neurosci. 2017;4(4):e58482. doi: https://doi.org/10.5812/archneurosci.58482
16
May
2005
Acute unilateral ophthalmoplegia
S Amirsalari,
Manijeh Khalili
Amirsalari S, Khalili M. Acute unilateral ophthalmoplegia. Zahedan J Res Med Sci. 2005;7(2):e94948. doi:
27
Jul
2025
The Relative Position of the Optic Foramen to the Anterior Sphenoid Sinus Wall: A CT Anatomic Study
Mohammad Ghasem Hanafi,
Mohammadamin Mohammadi,
Azim Motamed Far
Hanafi MG, Mohammadi M, Motamed Far A. The Relative Position of the Optic Foramen to the Anterior Sphenoid Sinus Wall: A CT Anatomic Study. Shiraz E-Med J. 2025;26(9):e154409. doi: https://doi.org/10.5812/semj-154409
18
Dec
2014
Anatomical Variations of Carotid Artery and Optic Nerve in Sphenoid Sinus Using Computerized Tomographic Imaging
Soheila Nikakhlagh,
Nader Saki,
Ghasem Saki,
Morteza Tahmasebi,
Mohammad Davoodi,
Fakher Rahim
Nikakhlagh S, Saki N, Saki G, Tahmasebi M, Davoodi M, et al. Anatomical Variations of Carotid Artery and Optic Nerve in Sphenoid Sinus Using Computerized Tomographic Imaging. Jentashapir J Cell Mol Biol. 2014;5(6):e26658. doi: https://doi.org/10.5812/jjhr.26658
30
Dec
2009
Nasopharyngeal Carcinoma Presenting with Cavernous Sinus Involvement, Trigeminal Neuralgia and Middle Ear
Amit Agrawal,
N Baisakhiya,
SJ Vagh,
SR Joharapurkar
Agrawal A, Baisakhiya N, Vagh S, Joharapurkar S. Nasopharyngeal Carcinoma Presenting with Cavernous Sinus Involvement, Trigeminal Neuralgia and Middle Ear. Int J Cancer Manag. 2009;2(4):e80648. doi:
More by these authors
Cited by
- Scopus by DOI: 0
Last Update: 1 month ago
- Scopus by Title: 0
Last Update: 1 month ago
- Scopus by Title (Ref): 0
Last Update: 1 month ago
- CrossRef: 0
Last Update: 5 days ago
- OpenAlex: 0
Last Update: 2 hours ago
- OpenCitations: 0
Last Update: 2 days ago
Comments
Number of Comments:0