Invasive fungal sinusitis with basilar stroke

Case contributed by Frank Gaillard


Signs of brainstem stroke

Patient Data

Age: Old age
Gender: Male

A mass is located in the sphenoid sinus eroding through the clivus and into the pre-pontine cistern.

The mass is isodense to grey matter on CT with only slight peripheral enhancement. 

On MRI the clival mass appears isointense to grey matter on both T1 and T2 sequences without central enhancement.

Case Discussion

This elderly man presented with a brainstem stroke (see DWI). 

Features are consistent with an aggressive invasive fungal infection. He, unfortunately, passed away 48 hours after admission.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.