Management and Treatment of Orbital Fungal Sinusitis with Intracranial Involvement

Fungal sinusitis is being reported more now in the literature than it was previously. Even with increased data and information, the intracranial involvement is still infrequent, but it can be fatal. As such, it is crucial that there is early diagnosis and treatment. Fungal sinusitis can be divided into two main groups, invasive and noninvasive, and the treatment is not the same for both groups. This case report will discuss in detail the presentation of our patient with a careful look at imaging, diagnosis, treatment, and management. It will be shown that the involvement of neurosurgery is critical in cases where there is intracranial extension. Early detection and diagnosis along with medical therapy and surgical techniques, such as endoscopy, have decreased the morbidity and mortality. Prognosis is dependent on the degree of invasiveness of the fungus.