Neurosurgery; Biological and Biomedical Sciences
A 14-year-old male presented to the neurosurgical clinic with swelling just above the right eye which had been growing slowly for the last eight years. The swelling first appeared following a non-penetrating trauma eight years ago. On examination it was a non-tender, non-erythematous, firm, round swelling causing marked proptosis and diplopia on downward gaze only. The visual acuity was intact. MRI showed an intraorbital, extraconal mass isointense on T1 and hypointense on T2 imaging. A diagnosis of orbital tumor was made. A white, friable mass consistent with meningioma was resected. However histopathology report later showed it to be an Aspergilloma. The Patient was successfully treated with anti-fungal medicine and was disease-free at one year follow-up.
(2009). Orbital aspergillus infection mimicking a tumour: A case report. Cases Journal, 2, 7860.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_surg_neurosurg/31
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