Sphenoidal fungal sinusitis with middle cranial fossa extension
From Otolaryngology Online
Case History:
45 years old female patient was admitted with
C/O:
1. Altered consciousness - 2 days duration
History elicited:
1. Headache intense more in the occipital area - 2 months
2.Low grade fever - 20 days (for which the patient received intermittent treatment)
3. Patient had vomiting - 3days back
Patient is a known diabetic on regular treatment with oral hypoglycemics
Imaging:
CT scan para nasal sinuses plain coronal cut showing fungal mass inside sphenoid sinus with erosion of its supero lateral wall
Management:
Debridement was done endoscopically under general anesthesia. Patient had complete recovery following surgery.
