Abducens nerve palsy on a patient with sphenoid fungal rhinosinusitis and cavernous sinus meningioma – Case report

Journal Title: Romanian Journal of Rhinology - Year 2018, Vol 8, Issue 31

Abstract

We report a case of a 47-year-old patient recently diagnosed with left abducens nerve palsy, who was admitted in our clinic with diplopia. The cranio-facial CT scan revealed left sphenoid fungal rhinosinusitis and the patient underwent endoscopic surgery with complete removal of the fungal material. The immediate postoperative evolution of the patient was favourable, with partial improvement of diplopia. The first month follow-up visit revealed the recurrence of the diplopia, so the patient performed an MRI scan of the brain that showed a cavernous sinus meningioma. The patient was referred to a neurosurgeon who choose a "wait-and-see" strategy instead of surgery. The paper presents the limits of computed tomography versus magnetic resonance imaging in the radiologic diagnosis of intracranial tumors.

Authors and Affiliations

Andreea Marza, Claudiu Manea

Keywords

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  • EP ID EP374721
  • DOI 10.2478/rjr-2018-0022
  • Views 36
  • Downloads 0

How To Cite

Andreea Marza, Claudiu Manea (2018). Abducens nerve palsy on a patient with sphenoid fungal rhinosinusitis and cavernous sinus meningioma – Case report. Romanian Journal of Rhinology, 8(31), 193-196. https://europub.co.uk/articles/-A-374721