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Journal of Korean Neurosurgical Society 1986;15(3): 525-530.
Internal Carotid Artery Occlusion and Intracranial Abscess Associated with Sino-orbital Aspergillosis: Case Report.
Ki Uk Kim, Kyu Sung Lee, Sang Keun Park, Kyu Chang Lee, Yong Pyo Han, Dong Ik Kim, Jung Ho Suh
1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
2Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Korea.
3Department of Radiology, Yonsei University College of Medicine, Seoul, Korea.
Authors described a case with intracranial abscess formation from sino-orbital aspergillosis. A 38-year-old woman presented with headache, facial pain, visual disturbance, and exophthalmus. Sino-orbital mass lesion, destruction of the skull base, and contiguous brain abscess were on coronal CT scan. Bacterial culture obtained from the initial operation directed to the brain abscess disclosed no organism. The final diagnosis of the aspergillosis was made from a biopsy of the mass in the ethmoid sinus. Cerebral angiogram showed complete occlusion of the ipsilateral carotid artery at 1cm proximal to the origin of the posterior communicating artery. The patient was treated with amphotericin B.
Key Words: Aspergillosis; Sino-orbital infection; Fungus; Brain abscess
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