Chonnam Med J.  2019 May;55(2):120-121. 10.4068/cmj.2019.55.2.120.

Ethmoid Fungal Ball Causing Diplopia

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea. limsc@chonnam.ac.kr

Abstract

No abstract available.


MeSH Terms

Diplopia*

Figure

  • FIG. 1 Brain MRI T1 axial (A) and coronal (B) scan shows a low-attenuated lesion of approximately 1.2×0.7 cm in the left posterior ethmoid sinus. (C) PNS CT enhanced axial scan shows a hazy lesion of approximately 1.0×0.9 cm with a thickened bony structure. No erosive bone lesion was found.

  • FIG. 2 (A) The presence of yellowish and thick fungal material in the left posterior ethmoid sinus. (B) After removing the fungal material, the mucosa was swollen, but relatively healthy.


Reference

1. Muneer A, Jones NS, Bradley PJ, Downes R. ENT pathology and diplopia. Eye (Lond). 1998; 12:672–678.
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2. Kim HJ, Shin SY, Kim SW, Cho JS. A case of fungal infection in the onodi cell with diplopia. Korean J Otorhinolaryngol-Head Neck Surg. 2014; 57:792–794.
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3. Lee JH, Kang JS, Park KH, Park SI. Interesting cases of the ethmoid disease causing medial rectus muscle palsy. Korean J Otorhinolaryngol-Head Neck Surg. 1988; 31:852–856.
4. Yeo CK, Ahn BH, Kim JS, Kim YD, Shin SH, Ye MK. Fungal ball in sinus: multi-center study in Daegu. J Rhinol. 2005; 12:105–107.
5. Shim BS, Song YJ, Han KY, Kim JH, Ha MS, Kim JY. Clinical features of bilateral paranasal sinus fungus ball. J Rhinol. 2010; 17:33–36.
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