Chronic Invasive Fungal Sinusitis Concerning for Sinonasal Malignancy With Unique Intracranial Extension.
Andrew Jung, Margaret Scott, Matthew Liu et al.
✦ AI-curated · Sources linked
Case in brief
A patient presented with chronic invasive fungal sinusitis characterized by a fungal mass, which exhibited orbital involvement and extended into the anterior skull base. Diagnosis was confirmed through histopathological examination and imaging studies showing bony destruction. The condition was managed with nasal endoscopy for biopsy, followed by postoperative debridement and antifungal therapy, leading to resolution of symptoms.
What made this case unusual
The case is notable for the unique intracranial extension of the fungal mass, which is atypical in chronic invasive fungal sinusitis.
Diagnostic / clinical pearl
Clinicians should consider the possibility of intracranial extension in cases of chronic invasive fungal sinusitis, especially when there is evidence of orbital involvement.
Why it matters
Recognizing the potential for intracranial complications in chronic invasive fungal sinusitis can guide timely intervention and improve patient outcomes.