Invasive aspergillosis of sphenoidal sinus in a patient in Djibouti, revealed by palsy of cranial nerves: a case report

Abstract BACKGROUND AND IMPORTANCE Hemi-laryngopharyngeal spasm (HeLPS) has been recently described but is not yet widely recognized. Patients describe intermittent coughing and choking and can be cured following microvascular decompression of their Xth cranial nerve. This case report and literature review highlight that HeLPS can co-occur with glossopharyngeal neuralgia (GN) and has been previously described (but not recognized) in the neurosurgical literature. CLINICAL PRESENTATION A patient with GN and additional symptoms compatible with HeLPS is presented. The patient reported left-sided, intermittent, swallow-induced, severe electrical pain radiating from her ear to her throat (GN). She also reported intermittent severe coughing, throat contractions causing a sense of suffocation, and dysphonia (HeLPS). All her symptoms resolved following a left microvascular decompression of a loop of the posterior inferior cerebellar artery that was pulsating against both the IXth and Xth cranial nerves. A review of the senior author's database revealed another patient with this combination of symptoms. An international literature review found 27 patients have been previously described with symptoms of GN and the additional (but not recognized at the time) symptoms of HeLPS. CONCLUSION This review highlights that patients with symptoms compatible with HeLPS have been reported since 1926 in at least 4 languages. This additional evidence supports the growing recognition that HeLPS is another neurovascular compression syndrome. Patients with HeLPS continue to be misdiagnosed as conversion disorder. The increased recognition of this new medical condition will require neurosurgical treatment and should alleviate the suffering of these patients.

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Intratumoral Bleeding in a Vestibular Schwannoma

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0037-1615287 ◽

2017 ◽

Vol 37 (01) ◽

pp. 47-49

Author(s):

Emanuelle Braga ◽

Luiza Köhler ◽

Marcelo de Cesaro ◽

Tasso Barreto ◽

Richard Giacomelli ◽

...

Keyword(s):

Hearing Loss ◽

Case Report ◽

Cranial Nerve ◽

Cerebellopontine Angle ◽

Clinical Presentation ◽

Cranial Nerves ◽

Altered Consciousness ◽

Progressive Hearing Loss ◽

Asymptomatic Patients ◽

Intratumoral Bleeding

AbstractVestibular schwannomas (VSs) account for ∼ 70% of all tumors of the cerebellopontine angle (CPA). Their clinical presentation is often insidious, with progressive hearing loss and involvement of other cranial nerves. Spontaneous hemorrhage in those tumors is very unusual, and generally presents with acute clinical features such as nausea, vomiting, headache and altered consciousness, usually with marked dysfunction of the cranial nerve involved, and with new deficits of neighboring cranial nerves. Asymptomatic patients are extremely rare. We present a case report of an incidental VS with asymptomatic bleeding, which evolved to death after surgery.

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Fulminant invasive aspergillosis of the mediastinum in an immunocompetent host: a case report

Journal of Medical Case Reports ◽

10.1186/1752-1947-6-311 ◽

2012 ◽

Vol 6 (1) ◽

Cited By ~ 6

Author(s):

Muhammad Tariq Shakoor ◽

Samia Ayub ◽

Zunaira Ayub ◽

Faisal Mahmood

Keyword(s):

Case Report ◽

Invasive Aspergillosis ◽

Immunocompetent Host

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Maxillary sinus aspergillosis: A case report of the timely failure to treatment

Iranian Journal of Microbiology ◽

10.18502/ijm.v11i4.1473 ◽

2019 ◽

Author(s):

Asma Beyki ◽

Mahmud Zardast ◽

Zahra Nasrollahi

Keyword(s):

Case Report ◽

Invasive Aspergillosis ◽

Maxillary Sinus ◽

Paranasal Sinuses ◽

Tooth Extraction ◽

Histopathological Examination ◽

Maxillary Sinusitis ◽

Eye Pain ◽

Lower Jaw ◽

The Right

Invasive aspergillosis of the paranasal sinuses is a rare and often misdiagnosed disease. This study reported a case of max- illary aspergillosis with a complete headache and eye pain after tooth extraction with a large abscess in the relative jaw. Tenderness in the right temporal, lower jaw numbness and right eye proptosis was found. Histopathological examination was the suggestion of maxillary sinusitis with a fungal ball of aspergillus.

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