Korean J Neuromuscul Disord.  2023 Dec;15(2):46-49. 10.46518/kjnmd.2023.15.2.46.

Invasive Aspergillosis Mimicking Tolosa-Hunt Syndrome: A Case Report

Affiliations
  • 1Department of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea
  • 2Division of Infectious Diseases, Dongguk University Ilsan Hospital, Goyang, Korea
  • 3Department of Radiology, Dongguk University Ilsan Hospital, Goyang, Korea
  • 4Department of Neurology, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea

Abstract

Invasive fungal infection remains a major cause of morbidity and mortality in immunocompromised patients. Invasive fungal sinusitis can present as a Tolosa-Hunt syndrome (THS) or orbital apex, leading to frequent misdiagnosis. Accurate diagnosis of fungal infection invading the cavernous sinus or orbital apex is essential to reduce mortality through early antifungal treatment and reduce the risk of worsening with steroid treatment due to misdiagnosis of THS. Herein, we report a case of invasive fungal sinusitis mimicking THS.

Keyword

Aspergillosis; Tolosa-Hunt syndrome; Invasive fungal infections
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