Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy
Sinonasal actinomycosis should be suspected when a patient with chronic sinusitis does not respond to medical therapy or has a history of facial trauma, dental disease, cancer, immunodeficiency, long-term steroid therapy, diabetes, or malnutrition. Radiological evaluation with computed tomography an...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2014/601671 |
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| author | G. L. Fadda M. Gisolo E. Crosetti A. Fulcheri G. Succo |
| author_facet | G. L. Fadda M. Gisolo E. Crosetti A. Fulcheri G. Succo |
| author_sort | G. L. Fadda |
| collection | DOAJ |
| description | Sinonasal actinomycosis should be suspected when a patient with chronic sinusitis does not respond to medical therapy or has a history of facial trauma, dental disease, cancer, immunodeficiency, long-term steroid therapy, diabetes, or malnutrition. Radiological evaluation with computed tomography and magnetic resonance imaging are important in differential diagnosis, evaluating the extent of disease, and understanding clinical symptoms. Endoscopic sinus surgery associated with long-term intravenous antibiotic therapy is the gold standard for treatment of sinonasal actinomycosis. We report an unusual case of abducens nerve palsy resulting from invasive sinonasal actinomycosis in a patient with an abnormally enlarged sphenoid sinus. A review of the current literature highlighting clinical presentation, radiological findings, and treatment of this uncommon complication is also presented. |
| format | Article |
| id | doaj-art-a583b3fef6bf46a18bc1ba92c09ea3cf |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-a583b3fef6bf46a18bc1ba92c09ea3cf2025-02-03T05:59:47ZengWileyCase Reports in Otolaryngology2090-67652090-67732014-01-01201410.1155/2014/601671601671Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve PalsyG. L. Fadda0M. Gisolo1E. Crosetti2A. Fulcheri3G. Succo4ENT Department, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Orbassano, 10043 Turin, ItalyENT Department, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Orbassano, 10043 Turin, ItalyENT Department, Martini Hospital, Via Tofane 1, 10141 Turin, ItalyENT Department, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Orbassano, 10043 Turin, ItalyENT Department, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Orbassano, 10043 Turin, ItalySinonasal actinomycosis should be suspected when a patient with chronic sinusitis does not respond to medical therapy or has a history of facial trauma, dental disease, cancer, immunodeficiency, long-term steroid therapy, diabetes, or malnutrition. Radiological evaluation with computed tomography and magnetic resonance imaging are important in differential diagnosis, evaluating the extent of disease, and understanding clinical symptoms. Endoscopic sinus surgery associated with long-term intravenous antibiotic therapy is the gold standard for treatment of sinonasal actinomycosis. We report an unusual case of abducens nerve palsy resulting from invasive sinonasal actinomycosis in a patient with an abnormally enlarged sphenoid sinus. A review of the current literature highlighting clinical presentation, radiological findings, and treatment of this uncommon complication is also presented.http://dx.doi.org/10.1155/2014/601671 |
| spellingShingle | G. L. Fadda M. Gisolo E. Crosetti A. Fulcheri G. Succo Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy Case Reports in Otolaryngology |
| title | Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy |
| title_full | Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy |
| title_fullStr | Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy |
| title_full_unstemmed | Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy |
| title_short | Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy |
| title_sort | intracranial complication of rhinosinusitis from actinomycosis of the paranasal sinuses a rare case of abducens nerve palsy |
| url | http://dx.doi.org/10.1155/2014/601671 |
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