![visual quickmenu 7 visual quickmenu 7](https://s.softdeluxe.com/screenshots/1335/1335225_1.jpg)
Nine months earlier, he had undergone craniotomy in the bilateral temporal region because of traumatic subdural hematoma from falling and had recovered without neurological sequelae. He had a history of hypertension but did not have diabetes mellitus or thyroid disease. Keywords: Aspergillosis Painful ophthalmoplegia Sphenoid sinus Tolosa-Hunt syndromeĪ 79-year-old previously healthy man was experiencing periorbital pain in the right eye with visual impairment of counting fingers and binocular diplopia that worsened rapidly over the course of 7 days. Given that invasive sphenoid sinus aspergillosis may initially resemble THS, high suspicion and rapid histological examination are important for diagnosis. The patient developed cerebral infarction and finally died despite being treated with amphotericin B.
![visual quickmenu 7 visual quickmenu 7](https://downloads.guru/i/win10/VS-Php-for-Visual-Studio-2005_main_winow_47070_650x200.jpg)
Aspergillosis was eventually confirmed by sphenoid sinus biopsy. The disease progressed despite high-dose intravenous steroid treatment, and an enhancing mass-like lesion was found in the right orbital apex, cavernous sinus, and sphenoid sinus on follow-up MRI. He was first diagnosed with THS based on clinical features. Initial evaluations including magnetic resonance imaging (MRI), were normal. A 79-year-old man presented with right periorbital pain, ophthalmoplegia, and loss of vision.
![visual quickmenu 7 visual quickmenu 7](https://media.pcwin.com/images/screen/QuickMenu_102084.jpg)
We report a case of invasive sphenoid sinus aspergillosis initially misdiagnosed as THS. Invasive sphenoid sinus aspergillosis can mimic Tolosa-Hunt syndrome (THS), leading to frequent misdiagnoses and potentially fatal consequences.