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:
CT scan para nasal sinuses plain coronal cut showing fungal mass inside sphenoid sinus with erosion of its supero lateral wall
MRI PNS showing fungal mass inside sphenoid sinus. Cavernous sinus is free
MRI lateral view showing fungal mass inside sphenoid sinus
Management:
Debridement was done endoscopically under general anesthesia.
Patient had complete recovery following surgery
Fungal mass inside sphenoid sinus seen endoscopically
External link / Additional resources: Fungal sinusitis by drtbalu
