OBJECTIVES: Isolated sphenoid sinus aspergilloma (ISSA) is a form of fungal sinus infection that is distinct from allergic fungal sinusitis, invasive fungal disease, and Aspergillus granulomas. In this study, we identify the characteristics of patients with ISSA to achieve timelier intervention for this easily neglected disease. METHODS: In a retrospective study of patients with ISSA in our institution (1995 to 2006), 12 were identified. RESULTS: Sixty-seven percent of our patients were more than 50 years of age, and a female preponderance was noted. Headache and postnasal drip were the two most common symptoms, and the samples from 78% of our patients with postnasal drip were blood-tinged. Computed tomographic scanning provided a sensitivity of 64%, whereas endoscopic examination failed to identify abnormalities in any patients. CONCLUSIONS: Four characteristics were identified in the diagnosis of ISSA: female; usually above 50 years of age; with postnasal drip (especially blood-tinged); and headache (particularly periorbital or retro-orbital).
OBJECTIVES: Isolated sphenoid sinus aspergilloma (ISSA) is a form of fungal sinus infection that is distinct from allergic fungal sinusitis, invasive fungal disease, and Aspergillus granulomas. In this study, we identify the characteristics of patients with ISSA to achieve timelier intervention for this easily neglected disease. METHODS: In a retrospective study of patients with ISSA in our institution (1995 to 2006), 12 were identified. RESULTS: Sixty-seven percent of our patients were more than 50 years of age, and a female preponderance was noted. Headache and postnasal drip were the two most common symptoms, and the samples from 78% of our patients with postnasal drip were blood-tinged. Computed tomographic scanning provided a sensitivity of 64%, whereas endoscopic examination failed to identify abnormalities in any patients. CONCLUSIONS: Four characteristics were identified in the diagnosis of ISSA: female; usually above 50 years of age; with postnasal drip (especially blood-tinged); and headache (particularly periorbital or retro-orbital).
Authors: Yi Kyung Kim; Hyung Jin Kim; Hyo Yeol Kim; Jihoon Cha; Ji Young Lee; Seung Kyu Chung; Hun Jong Dhong; Mina Song; Sung Tae Kim Journal: Diagn Interv Radiol Date: 2016 Jul-Aug Impact factor: 2.630
Authors: Teresa Popolizio; Marco Perri; Rosario Francesco Balzano; Bilal Al-Badayneh; Roberto Izzo; Paolo Graziano; Giuseppe Guglielmi Journal: BJR Case Rep Date: 2018-01-10
Authors: Saleh S Baeesa; Rakan F Bokhari; Khalid B Alghamdi; Hisham B Alem; Jaudah A Al-Maghrabi; Tariq A Madani Journal: Asian J Neurosurg Date: 2017 Apr-Jun