Compressive optic neuropathy secondary to sphenoid sinus aspergillosis

被引:5
作者
Wang, JK
Lin, SY
Lai, PC
Jou, JR
机构
[1] Natl Taiwan Univ Hosp, Dept Ophthalmol, Taipei 100, Taiwan
[2] Far Eastern Mem Hosp, Dept Ophthalmol, Taipei, Taiwan
[3] Cathay Gen Hosp, Dept Ophthalmol, Taipei, Taiwan
关键词
compressive optic neuropathy; giant cell arteritis; posterior ischemic optic neuropathy; retrobulbar optic neuropathy; sphenoid sinus aspergillosis;
D O I
10.1080/01658100590933460
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors report a case of retrobulbar optic neuropathy caused by noninvasive isolated sphenoid sinus aspergillosis. A 62-year-old woman suffered from left temporal headache with progressive visual loss in the left eye. Relative afferent pupillary defect, normal appearance of optic disc, and elevated erythrocyte sedimentation rate were found. Under the impression of posterior ischemic optic neuropathy caused by giant cell arteritis, urgent pulse therapy with corticosteroids was administered. Later, endoscopic sphenoid sinus surgery was undertaken following computed tomography and magnetic resonance imaging, which demonstrated a heterogenous mass lesion in the left sphenoid sinus. A fungal ball was removed from the sphenoid sinus, and acute-angled branching, septate hyphae were seen on pathological examination. Fungus culture grew Aspergillus fumigatus. The patient's best-corrected visual acuity improved to 20/400 in the left eye after a six-month follow-up period.
引用
收藏
页码:77 / 80
页数:4
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