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KMID : 0390220230340040178
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2023 Volume.34 No. 4 p.178 ~ p.182
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A Case of Orbital Apex Syndrome Secondary to Sphenoid Fungal Sinusitis in an Immune Compromised Patient
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Chi Young-Hoon
Koo Soo-Kweon
Lee Hwa-Sun
Cho Kyu-Sup
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Abstract
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Orbital apex syndrome (OAS) is a very rare syndrome caused by damage to the superior orbital fissure and optic canal. This syndrome is characterized by loss of vision, extraocular muscle paralysis, blepharoptosis, and hypoesthesia of the forehead due to damage to the optic nerve, pupillary nerve, trochlear nerve, abducens nerve, and trigeminal nerve branches. Various causes have been reported, including bacterial, viral and fungal infections, inflammation due to immunosuppressed conditions, tumors, and trauma. The authors report a case of OAS, which occurred as a complication of chronic invasive fungal infection with fungal ball of the isolated sphenoid sinus in an immunocompromised patient with multiple myeloma and diabetes, with a literature review.
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KEYWORD
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Sphenoid sinusitis, Orbital apex syndrome (OAS)
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