Türk Nöroşirürji Dergisi 2016 , Vol 26 , Num 1
Isolated Invasive Sphenoid Sinus Aspergillosis Mimicking Pituitary Apoplexy: Case Report
1Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye
2Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Radyoloji Bölümü, İstanbul, Türkiye
3Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Patoloji Bölümü, İstanbul, Türkiye
Aspergillosis is the most common fungal infection of the paranasal sinuses and may present in various forms. However, as an isolated disease of the sphenoid sinus in an otherwise healthy person, it is quite rare. Symptoms in these patients are nonspecific and variable, making the disease difficult to recognize. Headache or retro-orbital pain, diplopia, and visual disturbance are amongst the common presenting complaints. Radiologically, especially those extending to the sellar region can be misdiagnosed as invasive pituitary macroadenoma based on the signal characteristics on magnetic resonance imaging as well as the changes in the bony structures on computed tomography. Here, we report a case of isolated aspergillosis of the sphenoid sinus that mimicked apoplexy of a hormone-inactive pituitary macroadenoma, and was treated by transsphenoidal surgery. Anahtar Kelimeler : Aspergillosis, Fungal infection, Paranasal sinus, Pituitary apoplexy, Pituitary macroadenoma