Allergic fungal rhinosinusitis presenting with intracranial spread along large sphenoidal emissary foramen

Allergic fungal rhinosinusitis presenting with intracranial spread along large sphenoidal emissary foramen

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AbstractA 13-year-old girl was admitted Wide Seat Recliner for headache, right periorbital swelling and erythema.CT imaging demonstrated right orbital preseptal cellulitis, severe pansinusitis and suspected epidural abscess.Brain MRI and sinus CT confirmed an epidural abscess in the right middle cranial fossa and a second extra-cranial abscess in the right infratemporal fossa along with large right sphenoidal emissary foramen.Drainage from sinus surgery confirmed allergic fungal rhinosinusitis.She was COATS treated with prednisone and voriconazole.