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A case of aspergillotic orbital apex syndrome diagnosed by an additional intraorbital biopsy after nasal endoscopy
Author(s) -
Matsumoto Namiko,
Sato Kota,
Tadokoro Koh,
Takahashi Yoshiaki,
Yunoki Taijun,
Takemoto Mami,
Hishikawa Nozomi,
Ohta Yasuyuki,
Yamashita Toru,
Fujii Kentaro,
Ichikawa Tomotsugu,
Date Isao,
Abe Koji
Publication year - 2018
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12226
Subject(s) - medicine , craniotomy , endoscopy , biopsy , surgery , radiology
The prompt and accurate diagnosis of orbital apex syndrome ( OAS ) is very important because of its fatality. Here we report an old man with aspergillotic OAS diagnosed after two biopsies by nasal endoscopy and craniotomy. Only craniotomy leads to the appropriate diagnosis, suggesting an immediate need of additional biopsy for the accurate diagnosis and saving the patient.