Volume 2, Issue 4, July 2014, Page: 56-59
Intracranial Aspergillosis Mimicking a Middle Cranial Fossa Tumor Involving the Cavernous Sinus in an Immunocompetent Patient: Case Report and Literature Review
Mohamed Badri, Department of Neurosurgery, Burns and Trauma center, Ben Arous, Tunisia
Bouali Sofiene, Department of Neurosurgery, National Institute of Neurology “Mongi Ben Hmida”, Tunis, Tunisia
Boubaker Adnene, Department of Neurosurgery, National Institute of Neurology “Mongi Ben Hmida”, Tunis, Tunisia
Bahri Kamel, Department of Neurosurgery, Burns and Trauma center, Ben Arous, Tunisia
Jemel Hafedh, Department of Neurosurgery, National Institute of Neurology “Mongi Ben Hmida”, Tunis, Tunisia
Zammel Ihsen, Department of Neurosurgery, Burns and Trauma center, Ben Arous, Tunisia
Received: Sep. 1, 2014;       Accepted: Sep. 11, 2014;       Published: Sep. 20, 2014
DOI: 10.11648/j.ajpn.20140204.12      View  3193      Downloads  116
Abstract
Intracranial aspergillosis is rare in immunocompetent patients. Extension to the cranial base via the sphenoid sinus is exceptional. Authors report a case of middle cranial fossa aspergillosis involving the cavernous sinus and mimicking an extra-axial tumor in an immunocompetent 65 year-old male. The patient had been suffering from left trigeminal neuralgia and a horizontal diplopia since 4 months. Physical examination featured a left complete ophtalmoplegia and an hyperesthesia of the left maxillary nerve. Radiological examination showed a left temporal extra-axial temporal expanding intracranial lesion, involving the left cavernous sinus with extension to the sphenoidal sinus. A large tumor resection was performed through a left fronto-temporal craniotomy with no postoperative complications. Pathologic examination and specimen culture concluted to an Aspergillus fumigatus. Authors discuss the clinical, radiological features and management of such lesion through a literature review.
Keywords
Aspergillosis, Middle Cranial Fossa, Cavernous Sinus, Sphenoid Sinus
To cite this article
Mohamed Badri, Bouali Sofiene, Boubaker Adnene, Bahri Kamel, Jemel Hafedh, Zammel Ihsen, Intracranial Aspergillosis Mimicking a Middle Cranial Fossa Tumor Involving the Cavernous Sinus in an Immunocompetent Patient: Case Report and Literature Review, American Journal of Psychiatry and Neuroscience. Vol. 2, No. 4, 2014, pp. 56-59. doi: 10.11648/j.ajpn.20140204.12
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