World neurosurgery · 2013
Acute chiasmal abscess resulting from perineural extension of invasive sino-orbital aspergillosis in an immunocompetent patient.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Leyngold Ilya, Olivi Alessandro, Ishii Masaru, Blitz Ari, Burger Peter, Subramanian Prem S, Gallia Gary
Аннотация
OBJECTIVE: Intracranially invasive sino-orbital aspergillosis is a rare entity seen predominantly in immunocompromised individuals. We report a unique case of an acute chiasmal abscess resulting from perineural extension of an indolent invasive sino-orbital aspergillosis in an immunocompetent patient.
CASE DESCRIPTION: A 61-year-old healthy Ukrainian man presented with severe left retro-orbital pain and a gradual ipsilateral monocular vision loss with rapid progression to a contralateral temporal visual field cut. He was found to have an intracranially invasive sino-orbital Aspergillus fumigatus infection with perineural extension along the optic nerve complicated by an acute chiasmal abscess.
RESULTS: The patient was managed with surgical debridement and adjuvant antifungal chemotherapy. The patient's life and vision were preserved.
CONCLUSIONS: The case demonstrates that it is possible to successfully control advanced intracranial aspergillosis with tissue-sparing surgery and adjuvant antifungal chemotherapy in immunocompetent individuals.
CASE DESCRIPTION: A 61-year-old healthy Ukrainian man presented with severe left retro-orbital pain and a gradual ipsilateral monocular vision loss with rapid progression to a contralateral temporal visual field cut. He was found to have an intracranially invasive sino-orbital Aspergillus fumigatus infection with perineural extension along the optic nerve complicated by an acute chiasmal abscess.
RESULTS: The patient was managed with surgical debridement and adjuvant antifungal chemotherapy. The patient's life and vision were preserved.
CONCLUSIONS: The case demonstrates that it is possible to successfully control advanced intracranial aspergillosis with tissue-sparing surgery and adjuvant antifungal chemotherapy in immunocompetent individuals.