동안신경마비를 동반한 안와 국균증 1예

• 영문명: A Case of the Third Nerve Palsy in a Patient with Orbital Aspergillosis
• 발행기관: 대한안과학회
• 저자명: 김성일 최희영 이지웅,Sung Il Kim, MD, Hee Young Choi, MD, PhD, Ji Woong Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number1, 149~154쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.01.15

영문 초록

Purpose: To report a case of orbital aspergillosis with third nerve palsy. Case summary: A 75-year-old male presented with abrupt onset of visual impairment, extraocular movement limitation, and ptosis. The patient previously experienced rhinolalia and headache and was diagnosed with sinusitis 2 months prior, and was treated with oral antibiotics for 1 week. Orbital magnetic resonance imaging revealed a mass with bone erosion including the nasal cavity, ethmoid bone, and left orbit suggestive of fugal sinusitis. Aspergillus was detected histopathologically in the mass which was removed by endoscopic surgery. Amphotericin B was administered intravenously for 7 days along with voriconazole. There was no recurrence during the follow-up period. Extraocular movement limitations and ptosis were recovered postoperatively. Conclusions: The present study results indicate that visual impairment and third nerve palsy can develop in a patient with orbital aspergillosis. J Korean Ophthalmol Soc 2014;55(1):149-154

키워드

Orbital aspergillosis, Third nerve palsy