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Compressive epidural collection as an unusual complication of FESS for a pediatric mycetoma
Stepan Capek1,2, Delaney Carpenter3, Jose Mattos3
1Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA.
Abstract:
Functional endoscopic sinus surgery (FESS) is a treatment of choice for fungal sinus ball (mycetoma), which is considered safe with a very low major complication rate. We present an unusual case of a 12-year-old female, who underwent FESS for a sphenoid sinus mycetoma and which was complicated by an acute, compressive epidural fluid collection. This presumably resulted from sinus irrigation in the setting of an under-appreciated skull base and mucosal defects causing a ball-valve effect. Our patient had a temporary neurologic deficit with complete recovery, however, similar complications can have fatal consequences.
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