|
KMID : 0361020150580010052
|
|
Korean Journal of Otolaryngology - Head and Neck Surgery
2015 Volume.58 No. 1 p.52 ~ p.56
|
|
|
A Case of Aspergillus Clival Abscess Treated by Endoscopic Removal
|
|
Kim Jong-Sei
Jang Kyu-Sun
So Yoon-Kyoung
Hong Sa-Hyun
|
|
|
Abstract
|
|
|
|
Aspergillus clival abscess, especially without a sphenoid sinus lesion, is a very rare infection of central nervous system. In this report, we describe the successful treatment of a patient with aspergillus clival abscess. A 63-year-old man was referred to our hospital with the diagnosis of sphenoid mass lesion in magnetic resonance image accompanied by headache and diplopia. The computed tomography scan revealed a clival cystic lesion without connection with the sphenoid sinus. The patient underwent the endoscopic endonasal clival approach and histopathological examination revealed aspergillosis. Postoperatively, the patient was given IV amphotericin-B for 2 weeks and oral voriconazole for 3 months. After surgery, patient’s headache and diplopia disappeared. Aspergillus abscess originating from the skull base is rare but has a high mortality rate. Histopathological confirmation via endonasal approach and intensive antifungal therapy should be started for a successful treatment.
|
|
|
KEYWORD
|
|
|
Aspergillosis, Clivus, Endoscopy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|