scholarly journals Orbital Apex Syndrome due to Invasive Aspergillosis in an Immunocompetent Patient

IDCases ◽  
2021 ◽  
pp. e01232
Author(s):  
Grace D. Cullen ◽  
Tara M. Davidson ◽  
Zachary Yetmar ◽  
Bobbi S. Pritt ◽  
Daniel C. DeSimone
Keyword(s):  
Invasive Aspergillosis ◽  
Immunocompetent Patient ◽  
Orbital Apex ◽  
Orbital Apex Syndrome

scholarly journals An unusual presentation of sphenoid Candida fungal ball: a case report

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Geng Ju Tuang ◽  
Farah Dayana Zahedi ◽  
Izzah Akashah ◽  
Jennifer Peak Hui Lee ◽  
Zainal Azmi Zainal Abidin
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Immune Status ◽  
Immunocompetent Patient ◽  
Unusual Presentation ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Fungal Ball ◽  
Life Threatening

Abstract The clinical presentation of a sphenoid fungal ball (FB) is often non-specific and tends to be overlooked, particularly in hosts with an intact immune status. Rarely, potentially life-threatening complications may arise, owning its anatomical characteristics with contiguous structures. Herein, we present an unusual case of sphenoid FB complicated with orbital apex syndrome in an immunocompetent patient. The diagnosis dilemma and subsequent management are further discussed.

Clinical Case Notes. Orbital apex syndrome secondary to Pseudallescheria boydii fungal sinusitis in an immunocompetent patient

2004 ◽  
Vol 32 (5) ◽  
pp. 545-547 ◽  
Author(s):  
Sureka Thiagalingam ◽  
Glen T Fernando ◽  
Kimberley Tan ◽  
Brett A O'Donnell ◽  
Kerry Weeks ◽  
...  
Keyword(s):  
Clinical Case ◽  
Immunocompetent Patient ◽  
Fungal Sinusitis ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Pseudallescheria Boydii

Orbital Apex Syndrome Caused by Invasive Aspergillosis

2014 ◽  
Vol 25 (2) ◽  
pp. e191-e193 ◽  
Author(s):  
Jin Won Kim ◽  
Min Seok Rha ◽  
Jeong Hong Kim ◽  
Ju Wan Kang
Keyword(s):  
Invasive Aspergillosis ◽  
Orbital Apex ◽  
Orbital Apex Syndrome

scholarly journals A case of orbital apex syndrome caused by invasive aspergillosis successfully treated during the diagnostic procedure by the use of voriconazole

2008 ◽  
Vol 48 (10) ◽  
pp. 746-749 ◽  
Author(s):  
Akihiro Sugai ◽  
Mutsuo Oyake ◽  
Maiko Umeda ◽  
Yoshitaka Umeda ◽  
Nobuya Fujita
Keyword(s):  
Invasive Aspergillosis ◽  
Diagnostic Procedure ◽  
Orbital Apex ◽  
Orbital Apex Syndrome

Orbital apex syndrome secondary to nasopharyngeal carcinoma

2015 ◽  
Vol 4 (2) ◽  
pp. 177
Author(s):  
CS Sandhya ◽  
DMurali Krishna ◽  
C Jagannath ◽  
G Srinivas ◽  
K Radhika
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
Orbital Apex ◽  
Orbital Apex Syndrome

scholarly journals Orbital apex syndrome in COVID-19 patient, a case report

2021 ◽  
pp. 101006
Author(s):  
Masood Bagheri ◽  
Ahad Jafari ◽  
Sasan Jafari
Keyword(s):  
Case Report ◽  
Orbital Apex ◽  
Orbital Apex Syndrome

scholarly journals Granulomatosis with Polyangiitis Presenting with Bilateral Orbital Apex Syndrome

2021 ◽  
pp. 32-40
Author(s):  
Yusuke Murai ◽  
Takuji Kurimoto ◽  
Sotaro Mori ◽  
Kaori Ueda ◽  
Mari Sakamoto ◽  
...  
Keyword(s):  
Visual Field ◽  
Eye Movement ◽  
Endoscopic Sinus Surgery ◽  
Granulomatosis With Polyangiitis ◽  
Field Tests ◽  
Sinus Surgery ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Initial Examination ◽  
Steroid Pulse

We report a rare case of granulomatosis with polyangiitis (GPA) presenting with bilateral orbital apex syndrome (OAS). A 73-year-old woman with a history of endoscopic sinus surgery for ethmoidal sinusitis experienced a sudden decrease in visual acuity (VA) of both eyes. At the initial examination, her VA had decreased to 0.01 in the right eye and 0.03 in the left eye, and eye movement in both eyes was mildly limited in all directions. Visual field tests of both eyes showed a large central scotoma. Laboratory tests revealed an elevation of myeloperoxidase-anti-neutrophil cytoplasmic antibody. Facial computed tomography demonstrated a thickened mucosal membrane in the entire ethmoidal sinus, and the posterosuperior walls of Onodi cells filled with infiltrative lesions had thinned. Orbital magnetic resonance imaging showed severe inflammation in the orbital apex. From these clinical findings, the patient was diagnosed with GPA presenting with OAS associated with ethmoid sinusitis. Emergent endoscopic sinus surgery was performed for biopsy and debridement of the ethmoidal and sphenoid sinusitis to decompress the optic nerve. One day after endoscopic sinus surgery, the patient’s VA and visual field were improved, and steroid pulse therapy was commenced postoperatively. Four days later, VA had recovered to 1.0 in both eyes, and eye movement and visual field had were improved. Although OAS is a rare manifestation, early surgical treatment should be considered when the orbital lesion presents as risk of rapid deterioration of visual function in patients with GPA.

scholarly journals Orbital apex syndrome without MRI lesion caused by ANCA-associated vasculitis

2014 ◽  
Vol 54 (2) ◽  
pp. 158-161
Author(s):  
Hiroaki Iwanami ◽  
Hirotaka Katoh ◽  
Youhei Ohnaka ◽  
Masashi Nakajima ◽  
Mitsuru Kawamura
Keyword(s):  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Anca Associated Vasculitis

Long-Term Follow-up and Prognosis of Orbital Apex Syndrome Resulting From Nasopharyngeal Rhabdomyosarcoma

2005 ◽  
Vol 140 (2) ◽  
pp. 236.e1-236.e8 ◽  
Author(s):  
Kenneth S. Shindler ◽  
Grant T. Liu ◽  
Richard B. Womer
Keyword(s):  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Long Term Follow Up
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