Ophthalmoplegia in Sphenoid Sinus Aspergillosis

J Korean Neurol Assoc > Volume 23(4); 2005 > Article

Journal of the Korean Neurological Association 2005;23(4): 561-564.

안구운동마비를 동반한 접형동 아스페르길루스증

권오대, 배종엽

대구가톨릭대학교 의과대학 신경과학교실, 병리학교실a

Ophthalmoplegia in Sphenoid Sinus Aspergillosis

Oh Dae Kwon

Departments of Neurology and Pathologya, Catholic University of Daegu School of Medicine, Daegu, Korea

Abstract

Ophthalmoplegia due to spheniod sinus aspergillosis is rare. We report two cases of sphenoid sinus aspergillosis with diplopia. A diabetic patient presented with complete oculomotor nerve palsy and showed more rapid progression, severe symptoms, and delayed and incomplete recovery from the neurologic deficits. The other patient presented with trochlear nerve palsy and showed slower progression milder symptoms, and more rapid recovery. We suggest that immediate imaging should be performed to diagnose the cause of diplopia in patients with atypical unilateral persistent facial pain with diplopia especially in patients with diabetes mellitus. KeyWords:Ophthalmoplegia, Aspergillosis, Diabetes mellitus