J Korean Neurol Assoc.  2005 Aug;23(4):561-564.

Ophthalmoplegia in Sphenoid Sinus Aspergillosis

Affiliations
  • 1Department of Neurology, Catholic University of Daegu School of Medicine, Daegu, Korea. dolbaeke@cu.ac.kr
  • 2Department of Pathology, Catholic University of Daegu School of Medicine, Daegu, Korea.

Abstract

Ophthalmoplegia due to spheniod sinus aspergillosis is rare. We report two cases of sphenoid sinus aspergillosis with diplopia. A diabetic patient presented with complete oculomotor nerve palsy and showed more rapid progression, severe symptoms, and delayed and incomplete recovery from the neurologic deficits. The other patient presented with trochlear nerve palsy and showed slower progression milder symptoms, and more rapid recovery. We suggest that immediate imaging should be performed to diagnose the cause of diplopia in patients with atypical unilateral persistent facial pain with diplopia especially in patients with diabetes mellitus.

Keyword

Ophthalmoplegia; Aspergillosis; Diabetes mellitus

MeSH Terms

Aspergillosis*
Diabetes Mellitus
Diplopia
Facial Pain
Humans
Neurologic Manifestations
Oculomotor Nerve Diseases
Ophthalmoplegia*
Sphenoid Sinus*
Trochlear Nerve Diseases
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr