J Korean Neurosurg Soc.  1986 Sep;15(3):525-530.

Internal Carotid Artery Occlusion and Intracranial Abscess Associated with Sino-orbital Aspergillosis: Case Report

• Kim KU
• Lee KS
• Park SK
• Lee KC
• Han YP
• Kim DI
• Suh JH

Abstract

Authors described a case with intracranial abscess formation from sino-orbital aspergillosis. A 38-year-old woman presented with headache, facial pain, visual disturbance, and exophthalmus. Sino-orbital mass lesion, destruction of the skull base, and contiguous brain abscess were on coronal CT scan. Bacterial culture obtained from the initial operation directed to the brain abscess disclosed no organism. The final diagnosis of the aspergillosis was made from a biopsy of the mass in the ethmoid sinus. Cerebral angiogram showed complete occlusion of the ipsilateral carotid artery at 1cm proximal to the origin of the posterior communicating artery. The patient was treated with amphotericin B.

Keyword

Aspergillosis; Sino-orbital infection; Fungus; Brain abscess

MeSH Terms

Abscess*
Adult
Amphotericin B
Arteries
Aspergillosis*
Biopsy
Brain Abscess
Carotid Arteries
Carotid Artery, Internal*
Diagnosis
Ethmoid Sinus
Facial Pain
Female
Fungi
Headache
Humans
Skull Base
Tomography, X-Ray Computed
Amphotericin B