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Klin Monbl Augenheilkd 2010; 227(4): 326-327
DOI: 10.1055/s-0029-1245214
DOI: 10.1055/s-0029-1245214
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© Georg Thieme Verlag KG Stuttgart · New York
Aspergillosis: An Unusual Case of Orbital Apex Syndrome
Aspergillose: Ein ungewöhnlicher Fall eines orbitalen Apex-SyndromsFurther Information
Publication History
Publication Date:
20 April 2010 (online)

Background
Orbital apex syndrome (OAS) is defined by a combination of multiple ocular motor cranial nerve palsies (III, IV, VI), sensory loss in the distribution of V 1, and optic nerve dysfunction. The likelihood of OAS increases with the number of cranial nerves involved [1]. Symptoms of OAS may include visual loss, diplopia, periorbital or facial pain, and proptosis. Etiologies include trauma, vascular disease, tumor, inflammation or infection.
References
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- 2 Yeh S, Foroozan R. Orbital apex syndrome. Curr Opin Ophthtalmol. 2004; 15 490-498
- 3 O’Toole L, Acheson J A, Kidd D. Orbital apex lesion due to aspergillosis presenting in immunocompetent patients without apparent sinus disease. J Neurol. 2008; 255 1798-1801
- 4 Levin L A, Avery R, Shore J W. et al . The spectrum of orbital aspergillosis: a clinicopathological review. Surv Ophthtalmol. 1996; 41 142-154
- 5 Stammberger H, Jakse R, Beaufort F. Aspergillosis of the paranasal sinuses: x-ray diagnosis, histopathology, and clinical aspects. Ann Otol Rhinol Laryngol. 1984; 93 251-256
- 6 Cho S H, Jin B J, Lee Y S. et al . Orbital apex syndrome in a patient with sphenoid fungal balls. Clin Exp Otorhinolaryngol. 2009; 2 52-54
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