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Journals / Nöropsikiyatri Arşivi / 2012 / Cilt: 49 - Sayı: 1

Epidural ampiyeme neden olan frontal sinüs aspergillomu

Epidural empyema caused by frontal sinus aspergillosis

ÖZLEM GÜNGÖR TUNÇER
Yavuz BEKMEZCİ
Selhan KARADERELER
Çağla KARAKOÇ
Ebru ALTINDAĞ
Reha TOLUN
Yakup KRESPİ
Pages
83–85
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Aspergillosis infections lodging primarily in the frontal sinus and spreading to the dura are very rare, therefore, we report this case in the present paper.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aspergillosis infection located primarily in the frontal sinus and invading into the dura is rare.
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Key Findings & Data:A 74-year-old male patient was admitted with headache of 3-month duration that did not respond to analgesics.
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Conclusion & Impact:Aspergillosis infections lodging primarily in the frontal sinus and spreading to the dura are very rare, therefore, we report this case in the present paper.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aspergillosis infection located primarily in the frontal sinus and invading into the dura is rare. A 74-year-old male patient was admitted with headache of 3-month duration that did not respond to analgesics. Cranial MRI showed an irregular hyperintense lesion in T2 FLAIR and T1 FLAIR, arising from the right frontal sinus and advancing to the intracranial space. A collection, hyperintense on T2 FLAIR and isointense on T1 FLAIR, adjacent to the left frontal sinus was observed, consistent with epidural empyema. The lesions were drained surgically, and subsequently treated with antifungal therapy using Amphotericin B. The headache resolved completely after surgical drainage. The patient has been followed-up for a year and is currently asymptomatic. Aspergillosis infections lodging primarily in the frontal sinus and spreading to the dura are very rare, therefore, we report this case in the present paper.

Özet

Primer olarak frontal sinüse yerleşerek duraya yayılım gösteren aspergillosis infeksiyonu oldukça nadirdir. Yetmiş dört yaşında erkek hasta 3 aydır olan analjezik tedaviye cevap vermeyen baş ağrısı yakınmasıyla başvurdu. Kranyal MR’ında; sağ frontal sinüsten intrakranyal alana doğru uzanan T2 FLAIR ve T1 FLAIR‘de hiperintens irregüler lezyon olduğu, intraserebral alana doğru ilerlediği görüldü. Sol frontal bölgede ise T2 FLAIR’de hiperintens, T1 FLAIR’de ve GRE (ECHO) incelemesinde izointens görünen epidural ampiyem ile uyumlu kolleksiyon saptandı. Cerrahi olarak lezyonlar drene edildi, amfoterisin B tedavisi başlandı. Cerrahi drenaj sonrası bir yıllık takibi boyunca benzer başağrısı tekrarlamadı. Primer olarak frontal sinüse yerleşerek duraya doğru yayılım gösteren ve epidural ampiyeme neden olan aspergillosis infeksiyonlarının çok nadir olması nedeniyle bu olgu sunulmaktadır.

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Cite This Article

TUNÇER, Ö. G., BEKMEZCİ, Y., KARADERELER, S., KARAKOÇ, Ç., ALTINDAĞ, E., TOLUN, R., KRESPİ, Y. (2012). Epidural ampiyeme neden olan frontal sinüs aspergillomu. Nöropsikiyatri Arşivi, Cilt: 49 - Sayı: 1, 83–85. https://ajindex.com/articles/292635

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