Optic Chiasma Involvement Secondary to Allergic Fungal Rhinosinusitis

Optic chiasma compression is a very rare complication of allergic fungal rhino sinusitis. Here we report the rare case of a 35-year-old female suffering from unilateral visual loss presented with allergic fungal sinusitis with sphenoid sinus involvement. Examination showed nasal polyposis and unilat...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2011-07, Vol.61 (7), p.704-707
Main Authors: ABEER MOHAMMED AL-RADADI, KHALED IBRAHIM ALNOURY
Format: Article
Language:English
Subjects:
Adult
Antifungal Agents - therapeutic use
Aspergillosis - complications
Aspergillosis - diagnosis
Aspergillosis - microbiology
Aspergillus flavus - isolation & purification
Biological and medical sciences
Endoscopy
Female
General aspects
Hemianopsia - etiology
Humans
Hypersensitivity, Immediate - microbiology
Immunocompetence
Magnetic Resonance Imaging
Medical sciences
Nasal Polyps - etiology
Non tumoral diseases
Optic Chiasm - pathology
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Rhinitis - complications
Rhinitis - diagnosis
Rhinitis - microbiology
Rhinitis - therapy
Sinusitis - complications
Sinusitis - diagnosis
Sinusitis - microbiology
Sinusitis - therapy
Sphenoid Sinus - microbiology
Tomography, X-Ray Computed
Treatment Outcome
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Optic chiasma compression is a very rare complication of allergic fungal rhino sinusitis. Here we report the rare case of a 35-year-old female suffering from unilateral visual loss presented with allergic fungal sinusitis with sphenoid sinus involvement. Examination showed nasal polyposis and unilateral hemianopia. Computerized tomography and magnetic resonance imaging showed bilateral nasal polyposis with intracranial extension; however, the optic nerve was free. The patient underwent functional endoscopic surgery and medical management in the form of steroids and oral antifungal therapy, resulting in complete recovery of the visual field loss. Patient was started on immunotherapy according to the skin prick test. No clinical nor radiological recurrence of the disease was evident within 2 years. Immediate management both surgically and medically is important. Immunotherapy is an essential part for long term control.
ISSN:0030-9982