Sphenoidal Fungal Sinusitis with extension into middle crainal fossa

Case History:

45 years old female patient was admitted with

C/O:

1. Altered consciousness - 2 days duration

History elicited:

1. Headache intense more in the occipital area - 2 months

2.Low grade fever - 20 days (for which the patient received intermittent treatment)

3. Patient had vomiting - 3days back

Patient is a known diabetic on regular treatment with oral hypoglycemics

Imaging:

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CT scan para nasal sinuses plain coronal cut showing fungal mass inside sphenoid sinus with erosion of its supero lateral wall

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MRI PNS showing fungal mass inside sphenoid sinus. Cavernous sinus is free

MRI%20skull%20lateral%20view

MRI lateral view showing fungal mass inside sphenoid sinus

Management:

Debridement was done endoscopically under general anesthesia.

Patient had complete recovery following surgery

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Fungal mass inside sphenoid sinus seen endoscopically

External link / Additional resources: Fungal sinusitis by drtbalu

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