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Parasellar and orbital apex syndrome caused by aspergillosis

From the Pennsylvania HospRal and the Department of Ophthalmology, The University of Pennsylvania. School of Medicine, Philadelphia, Pennsylvania

Patients with orbital aspergillosis commonly present with unilateral proptosis and associated sinus disease. However, neither of these manifestations was observed in a 62-year-old woman who had an orbital apex syndrome with visual loss, complete ophthalmoplegia, and corneal hypoesthesia. Pathologic examination of a specimen from a granulomalike mass removed at left frontotemporal craniotomy showed branching hyphae with the characteristic appearance of Aspergillus.

Reprint requests should be addressed to Dr Hedges, Pennsylvania Hospital. EQhth and Spruce Streets, Philadelphia. PA 19107.

Received for publication June 11, 1975

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