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Intracranial Abscess as a Complication of Allergic Fungal Sinusitis
Author(s) -
Holbrook John F.,
Eastwood James D.,
Kilani Ramsey K.
Publication year - 2011
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2011.00670.x
Subject(s) - medicine , complication , sinusitis , abscess , brain abscess , sinus (botany) , surgery , radiology , bone erosion , rheumatoid arthritis , botany , biology , genus
BACKGROUND AND PURPOSE This case involves a common disease, allergic fungal sinusitis (AFS), with the uncommon complication of intracranial abscess. Although AFS is known to result in bone erosion, invasive complications are rare. METHODS The clinical and pathologic information were reviewed. A literature review was performed to clarify the clinical, radiologic, and pathologic features of AFS. RESULTS The clinical and radiographic presentations were typical for AFS, including the relatively common complication of sinus wall erosion. Follow‐up imaging demonstrated spread of fungal disease into the adjacent masticator space and intracranial spread by foramen ovale. CONCLUSION This case illustrates the importance of identifying AFS and describing findings such as sinus erosion that may alter management. In this example, knowledge of the altered anatomy and potential for mucosal injury may facilitate surgical planning and decrease the likelihood of future complications.