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KMID : 0361020100530100644
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Korean Journal of Otolaryngology - Head and Neck Surgery
2010 Volume.53 No. 10 p.644 ~ p.647
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A Case of Orbital Apex Syndrome Related to Sphenoid Fungal Sinusitis
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Lee Hyung-Rok
Kim Hong-Jun
Seong Sang-Yeob
Chang Jung-Hyun
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Abstract
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Orbital apex syndrome (OAS) has been described previously as a syndrome involving damage to the oculomotor nerve, trochlear nerve, abducens nerve, and ophthalmic branch of the trigeminal nerve in association with optic nerve dysfunction. The conditions and symptoms of OAS are characterized by blindness, fixed dilated pupils, proptosis, ptosis of the eye and ophthalmoplegia. Infectious diseases involving the central nervous system, paranasal sinuses, and periorbital structures may lead to an OAS. We recently experienced a rare case of sphenoidal aspergillosis, which damaged the adjacent cavernous sinus structures and led to the definite symptom of OAS in a 75 year-old female. We present this rare case with a brief review of these disease’s entities.
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KEYWORD
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Sphenoidal sinusitis, Orbital apex syndrome (OAS), Cavernous sinus, Aspergillosis
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