Invasive fungal sinusitis with basilar stroke

Case contributed by A.Prof Frank Gaillard

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.

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Case information

rID: 5494
Published: 27th Jan 2009
Last edited: 13th Oct 2019
Inclusion in quiz mode: Included

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