Analjeziklere dirençli kronik baş ağrısının nadir bir nedeni: Izole sfenoid sinüs aspergilloması

Sfenoid sinüs hastalıklarının tanısı nonspesifik öykü ve fizik muayene bulguları nedeniyle zordur. Sfenoid sinüs, aspergillomaların en nadir görüldüğü lokalizasyondur ve tanıdaki gecikmeler ciddi komplikasyonlar ile sonuçlanabilir. Burada uzun yıllardır uyku bozukluğu ve baş ağrısı nedeni ile psikiyatri bölümünce takip edilmekte olan bir sfenoid sinüs aspergilloması olgusunu sunuyor ve bu nadir olgu ile beraber sfenoid sinüs aspergillomalarının klinik ve radyolojik özelliklerini tartışıyoruz

A rare cause of analgesic-resistant chronic headache: Isolated aspergilloma of the sphenoid sinus

The diagnosis of sphenoid sinus diseases is difficult due to nonspecific history and physical examination findings. Sphenoid sinus is a rare localization for aspergilloma. Delay in diagnosis and treatment can result in serious complications. Presently described is case of sphenoid sinus aspergilloma. Patient had been treated by department of psychiatry for many years due to sleep disturbances and headache. Clinical and radiological features of rare case of sphenoid sinus aspergilloma are discussed

___

  • Kameswaran M, al-Wadei A, Khurana P, Okafor BC. Rhinoce- rebral aspergillosis. J Laryngol Otol 1992;106(11):981-5.
  • Scamoni C, Dario A, Fachinetti P, Marra A, Villa P, Cerati M, et al. Isolated aspergillosis of the sphenoid sinus. Case report. J Neurosurg Sci 1992;36(2):107-10.
  • Sethi DS. Isolated sphenoid lesions: diagnosis and mana- gement. Otolaryngol Head Neck Surg 1999;120(5):730-6.
  • Khongkhunthian P, Reichart PA. Aspergillosis of the ma- xillary sinus as a complication of overfilling root canal material into the sinus: report of two cases. J Endod 2001;27(7):476-8.
  • Chao TK. Triple discrete fungus balls of the paranasal sinu- ses. Otolaryngol Head Neck Surg 2004;131(6):1014-5.
  • Pinzer T, Reiss M, Bourquain H, Krishnan KG, Schackert G. Primary aspergillosis of the sphenoid sinus with pituitary invasion - a rare differential diagnosis of sellar lesions. Acta Neurochir (Wien) 2006;148(10):1085-90.
  • Grillone GA, Kasznica P. Isolated sphenoid sinus disease. Otolaryngol Clin North Am 2004;37(2):435-51.
  • Jung JH, Cho GS, Chung YS, Lee BJ. Clinical characteristics and outcome in patients with isolated sphenoid sinus as- pergilloma. Auris Nasus Larynx 2013;40(2):189-93.
  • Ruoppi P, Seppä J, Pukkila M, Nuutinen J. Isolated sphenoid sinus diseases: report of 39 cases. Arch Otolaryngol Head Neck Surg 2000;126(6):777-81.
  • Fawaz SA, Ezzat WF, Salman MI. Sensitivity and specificity of computed tomography and magnetic resonance ima- ging in the diagnosis of isolated sphenoid sinus diseases. Laryngoscope 2011;121(7):1584-9.
  • Gilony D, Talmi YP, Bedrin L, Ben-Shosan Y, Kronenberg J. The clinical behavior of isolated sphenoid sinusitis. Oto- laryngol Head Neck Surg 2007;136(4):610-5.
  • Dhong HJ, Chung SK, Koh SJ. Isolated sphenoid sinus dise- ase. Korean J Otolaryngol 1998;41:467-70.
  • Karatas A, Is M, Guclu E, Dosoglu M, Gezen F. Intracranial epidural abscess secondary to isolated sphenoid sinusitis. Br J Neurosurg 2007;21(6):616-8.
  • Browning AC, Sim KT, Timms JM, Vernon SA, McConachie NS, Allibone R, et al. Successful treatment of invasive ca- vernous sinus aspergillosis with oral itraconazole monot- herapy. J Neuroophthalmol 2006;26(2):103-6.
Ağrı-Cover
  • ISSN: 1300-0012
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: Ali Cangül