Parasellar and orbital apex syndrome caused by aspergillosis.
Patients with orbital aspergillosis commonly present with unilateral proptosis and associated sinus disease. However, neither of these manifestations was observed in a 62-year-old woman who had an orbital apex syndrome with visual loss, complete ophthalmoplegia, and corneal hypoesthesia. Pathologic examination of specimen from a granulomalike mass removed at left frontotemporal craniotomy showed branching hyphae with the characteristic appearance of Aspergillus.
D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis; D001927:Brain Diseases / Q000382:microbiology*; D003937:Diagnosis, Differential; D005128:Eye Diseases / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology; D009901:Optic Nerve Diseases / Q000209:etiology; D009915:Orbit; D009918:Orbital Neoplasms / Q000175:diagnosis; D012658:Sella Turcica; D013577:Syndrome