Intracranial abscess as a complication of allergic fungal sinusitis

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. The clinical and pathologic information were reviewed. A literature review was performed to...

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Bibliographic Details
Published inJournal of neuroimaging Vol. 24; no. 1; p. 95
Main Authors Holbrook, John F, Eastwood, James D, Kilani, Ramsey K
Format Journal Article
LanguageEnglish
Published United States 01.01.2014
Subjects
Adolescent
Brain Abscess - diagnostic imaging
Brain Abscess - etiology
Female
Humans
Mycoses - complications
Mycoses - diagnostic imaging
Radiography
Rhinitis, Allergic - complications
Rhinitis, Allergic - diagnostic imaging
Sinusitis - complications
Sinusitis - diagnostic imaging
Allergic fungal sinusitis
Fungal infection
Abscess
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Summary: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. The clinical and pathologic information were reviewed. A literature review was performed to clarify the clinical, radiologic, and pathologic features of AFS. 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. 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.
ISSN:1552-6569
DOI:10.1111/j.1552-6569.2011.00670.x