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Isolated sphenoid fungal sinusitis and vision loss: the case for early intervention

L Hu1, D Wang, H Yu

  • 1Department of Otolaryngology, Shanghai Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, PR China.

The Journal of Laryngology and Otology
|January 14, 2009
PubMed
Abstract

Insights

Two rare cases of sphenoid fungal ball, a type of fungal sinusitis, caused vision loss. Prompt endoscopic surgery resolved symptoms, highlighting the need for early diagnosis of this rare condition.

Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Mycology

Background:

  • Isolated sphenoid fungal ball (mycetoma) is a rare condition.
  • Diagnosis can be challenging due to nonspecific symptoms like headache and visual disturbances.

Observation:

  • Two patients presented with vision loss and headaches attributed to sphenoid sinus fungal balls.
  • One patient experienced IIIrd cranial nerve palsy, and the other had partial visual field impairment.

Findings:

  • Advanced imaging is often required for diagnosis.
  • Timely sphenoidotomy led to full recovery and symptom resolution in both cases.

Implications:

  • Otolaryngologists should consider sphenoid fungal ball in patients with nonspecific symptoms, including vision loss.
  • Endoscopic surgery is a safe and effective treatment for this condition.

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