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Acute chiasmal abscess resulting from perineural extension of invasive sino-orbital aspergillosis in an immunocompetent patient.

Publication ,  Journal Article
Leyngold, I; Olivi, A; Ishii, M; Blitz, A; Burger, P; Subramanian, PS; Gallia, G
Published in: World neurosurgery
January 2014

Intracranially invasive sino-orbital aspergillosis is a rare entity seen predominantly in immunocompromised individuals. We report a unique case of an acute chiasmal abscess resulting from perineural extension of an indolent invasive sino-orbital aspergillosis in an immunocompetent patient.A 61-year-old healthy Ukrainian man presented with severe left retro-orbital pain and a gradual ipsilateral monocular vision loss with rapid progression to a contralateral temporal visual field cut. He was found to have an intracranially invasive sino-orbital Aspergillus fumigatus infection with perineural extension along the optic nerve complicated by an acute chiasmal abscess.The patient was managed with surgical debridement and adjuvant antifungal chemotherapy. The patient's life and vision were preserved.The case demonstrates that it is possible to successfully control advanced intracranial aspergillosis with tissue-sparing surgery and adjuvant antifungal chemotherapy in immunocompetent individuals.

Published In

World neurosurgery

DOI

EISSN

1878-8769

ISSN

1878-8750

Publication Date

January 2014

Volume

81

Issue

1

Start / End Page

203.e1 / 203.e6

Related Subject Headings

  • Voriconazole
  • Visual Fields
  • Triazoles
  • Pyrimidines
  • Orbital Diseases
  • Optic Nerve
  • Optic Chiasm
  • Neuroimaging
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Leyngold, I., Olivi, A., Ishii, M., Blitz, A., Burger, P., Subramanian, P. S., & Gallia, G. (2014). Acute chiasmal abscess resulting from perineural extension of invasive sino-orbital aspergillosis in an immunocompetent patient. World Neurosurgery, 81(1), 203.e1-203.e6. https://doi.org/10.1016/j.wneu.2013.08.018
Leyngold, Ilya, Alessandro Olivi, Masaru Ishii, Ari Blitz, Peter Burger, Prem S. Subramanian, and Gary Gallia. “Acute chiasmal abscess resulting from perineural extension of invasive sino-orbital aspergillosis in an immunocompetent patient.World Neurosurgery 81, no. 1 (January 2014): 203.e1-203.e6. https://doi.org/10.1016/j.wneu.2013.08.018.
Leyngold I, Olivi A, Ishii M, Blitz A, Burger P, Subramanian PS, et al. Acute chiasmal abscess resulting from perineural extension of invasive sino-orbital aspergillosis in an immunocompetent patient. World neurosurgery. 2014 Jan;81(1):203.e1-203.e6.
Leyngold, Ilya, et al. “Acute chiasmal abscess resulting from perineural extension of invasive sino-orbital aspergillosis in an immunocompetent patient.World Neurosurgery, vol. 81, no. 1, Jan. 2014, pp. 203.e1-203.e6. Epmc, doi:10.1016/j.wneu.2013.08.018.
Leyngold I, Olivi A, Ishii M, Blitz A, Burger P, Subramanian PS, Gallia G. Acute chiasmal abscess resulting from perineural extension of invasive sino-orbital aspergillosis in an immunocompetent patient. World neurosurgery. 2014 Jan;81(1):203.e1-203.e6.
Journal cover image

Published In

World neurosurgery

DOI

EISSN

1878-8769

ISSN

1878-8750

Publication Date

January 2014

Volume

81

Issue

1

Start / End Page

203.e1 / 203.e6

Related Subject Headings

  • Voriconazole
  • Visual Fields
  • Triazoles
  • Pyrimidines
  • Orbital Diseases
  • Optic Nerve
  • Optic Chiasm
  • Neuroimaging
  • Middle Aged
  • Male