Signal void and pseudo-pneumatized sinus in fungal rhinosinusitis – Case report
Journal Title: Romanian Journal of Rhinology - Year 2017, Vol 7, Issue 28
Abstract
BACKGROUND. Signal void, or the absence of signal on MRI sequences, in the sinonasal region may be encountered in fungal rhinosinusitis cases with the aspect of a pseudo-pneumatized sinus, leading to diagnostic errors. CASE REPORT. We present the case of a 75-year-old woman referred to our clinic for complete and persistent right-sided nasal obstruction. The patient was evaluated using sinus CT and contrast-enhanced head MRI. Opacification of the right maxillary, ethmoid and frontal sinuses as well as of the right nasal fossa were seen on CT, with maxillary sinus expansion and osseous erosion. The MRI showed T2 signal void in the maxillary sinus with extension to the nasal fossa, creating the appearance of a pseudo-pneumatized sinus, and hyperintense signal in the ipsilateral anterior ethmoid and frontal sinuses. The patient underwent endoscopic sinus surgery. The dual imaging evaluation of the patient aided the preoperative differential diagnosis and choosing the surgical approach.
Authors and Affiliations
Alexis Vuzitas, Marian Petrica, Claudiu Manea
Keywords
Related Articles
- EP ID EP267300
- DOI 10.1515/rjr-2017-0027
- Views 91
- Downloads 0
Extramedullary plasmacytoma of the nasal cavity: A case report
Extramedullary plasmacytoma is a rare neoplasm characterized by monoclonal proliferation of plasma cells. It is most often located in the head and neck region. Extramedullary Plasmacytomas are more predominant in males w...
Comparison of the thermal effects of Coblation and Radiofrequency waves in a porcine turbinate model
BACKGROUND. Radiofrequency reduction and Coblation are widely used procedures for the treatment of functionally enlarged turbinates with an appropriate outcome. Bleeding and crusting are postoperative complications for C...
The association of absolute eosinophil count, serum immunoglobulin E and spirometry with co-morbid bronchial asthma in patients with allergic rhinitis
OBJECTIVE. This study aimed to analyse the association of absolute eosinophil count (AEC), serum IgE and spirometry with co-morbid bronchial asthma in patients with allergic rhinitis. MATERIAL AND METHODS. This study inv...
A paradigm shift: “Defect of the fontanel” instead of “Accessory ostium” and classified nasal septal deformities instead of “septal deviation”
OBJECTIVES. The purpose of this article is to highlight some terms which have been ingrained in the rhinosinusology literature. MATERIAL AND METHODS. It regards the term “accessory ostium” and the term “septal deviation”...
Complex facial reconstruction after removal of giant nasal ulcerated acantholytic squamous carcinoma
BACKGROUND. Excision of facial cutaneous carcinomas requires further reconstruction in a combined team with plastic surgeons. Among the traditional risk factors, the unprotected occupational exposure to sunlight can be i...