Unilateral Abducens Nerve Palsy Secondary to Isolated Fungal Sphenoidal Sinusitis

AUTHORS

Mohsen Vazirnezami 1 , * , Habibollah Moghaddasi 1 , Nasim Raad 1

1 Department of ENT, Shaheed Beheshti University of Medical Sciences, Tehran, IR Iran

How to Cite: Vazirnezami M, Moghaddasi H, Raad N. Unilateral Abducens Nerve Palsy Secondary to Isolated Fungal Sphenoidal Sinusitis, Arch Clin Infect Dis. Online ahead of Print ; 3(1):43-5.

ARTICLE INFORMATION

Archives of Clinical Infectious Diseases: 3 (1); 43-5
Article Type: Case Report

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Abstract

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.

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.

Keywords

Keywords: Sphenoidal Sinusitis, Fungal Infection, Abducens Nerve Palsy

© 0, Archives of Clinical Infectious Diseases. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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