삼차 신경병증으로 나타난 접형동 진균구에 의한 침습성 진균성 부비동염 1예

• 영문명: Trigeminal neuralgia caused by invasive fungal sinusitis resulting from sphenoid fungal ball
• 발행기관: 대한두개저학회
• 저자명: 김준영(Junyoung Kim) 박민혜(Minhae Park) 홍상덕(Sang Duk Hong)
• 간행물 정보: 『대한두개저학회지』제19권 제1호, 85~90쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2024.05.31

영문 초록

In an immunocompromised state, it is very rare for an indolent fungal ball to transform into an invasive fungal rhinosinusitis. However, it is rarely reported that sphenoid fungal ball invades the infratemporal fossa and trigeminal nerve. A 47-year-old female patient undergoing chemotherapy for malignant thymoma with pleural dissemination presents with right facial hypoesthesia. Magnetic resonance image and computed tomography showed bony defects in the sphenoid lateral recess. These lesions extended from the right sphenoid sinus to the infratemporal fossa and mandibular nerve. Endoscopic debridement was performed, and fungal ball was diagnosed in sphenoid lateral recess and infratemporal fossa. Tissue invasion of Aspergillus species was confirmed in pterygoid body and muscles. Systemic antifungal treatment with voriconazole was used, and the disease has been stable without improvement of mandibular nerve palsy. Physicians must know the possible pathophysiology of invasive fungal sinusitis from sphenoid lateral recess to infratemporal fossa and mandibular nerve, which can be treated by endoscopic debridement with minimal morbidity.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

CONFLICT OF INTEREST

ORCID

REFERENCES

키워드

Trigeminal nerve Immunocompromised status Invasive fungal rhinosinusitis