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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
Unilateral Abducens Nerve Palsy Secondary to Isolated Fungal Sphenoidal Sinusitis
Author(s):
1Department of ENT, Shaheed Beheshti University of Medical Sciences, Tehran, IR Iran
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.
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.
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