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Published on: January 17, 2018
Cavernous sinus thrombosis secondary to non-invasive sphenoid aspergillosis
1Department of Oto-rhino-laryngology, Unit of Endoscopic Functionnal Sinus Surgery, La Timone University Hospital, Marseille, France. arnaud.deveze@orl.net
Abstract:
The sphenoid localization of aspergillosis is a rare sinusal disease, often latent or asymptomatic. The neurological complications are the result of invasive forms occurring in most cases for the immunocompromised or diabetic patients. Nevertheless, non-invasive sphenoid aspergillosis may cause also several complications and affect the vital prognosis of nonimmunocompromised patients. This report is about two cases of cavernous sinus thrombosis secondary to a non-invasive sphenoid aspergillosis. The authors refer to the clinical and radiological findings and therapeutic approach of this rare complication.
Insights
Sphenoid aspergillosis, a rare sinus infection, can cause serious complications like cavernous sinus thrombosis even in non-immunocompromised patients. This report details two such cases, highlighting clinical and radiological findings and treatment.
Area of Science:
- Otolaryngology
- Neurology
- Infectious Diseases
Background:
- Sphenoid aspergillosis is a rare sinus disease, often asymptomatic.
- Neurological complications typically arise from invasive forms in immunocompromised or diabetic individuals.
Observation:
- This report presents two cases of cavernous sinus thrombosis (CST).
- The CST was secondary to non-invasive sphenoid aspergillosis.
Findings:
- Non-invasive sphenoid aspergillosis can lead to severe complications, including CST.
- Clinical and radiological findings in these two cases are discussed.
Implications:
- Highlights the potential severity of non-invasive sphenoid aspergillosis in non-immunocompromised patients.
- Emphasizes the importance of considering sphenoid aspergillosis in the differential diagnosis of CST.
- Informs the therapeutic approach for this rare complication.
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