A Case of Aspergillus Clival Abscess Treated by Endoscopic Removal / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
; : 52-56, 2015.
Article
Dans Ko
| WPRIM
| ID: wpr-644372
Responsable en Bibliothèque :
WPRO
ABSTRACT
Aspergillus clival abscess, especially without a sphenoid sinus lesion, is a very rare infection of central nervous system. In this report, we describe the successful treatment of a patient with aspergillus clival abscess. A 63-year-old man was referred to our hospital with the diagnosis of sphenoid mass lesion in magnetic resonance image accompanied by headache and diplopia. The computed tomography scan revealed a clival cystic lesion without connection with the sphenoid sinus. The patient underwent the endoscopic endonasal clival approach and histopathological examination revealed aspergillosis. Postoperatively, the patient was given IV amphotericin-B for 2 weeks and oral voriconazole for 3 months. After surgery, patient's headache and diplopia disappeared. Aspergillus abscess originating from the skull base is rare but has a high mortality rate. Histopathological confirmation via endonasal approach and intensive antifungal therapy should be started for a successful treatment.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Aspergillose
/
Aspergillus
/
Sinus sphénoïdal
/
Système nerveux central
/
Mortalité
/
Base du crâne
/
Fosse crânienne postérieure
/
Diagnostic
/
Abcès
/
Diplopie
Type d'étude:
Diagnostic_studies
/
Prognostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Korean Journal of Otolaryngology - Head and Neck Surgery
Année:
2015
Type:
Article