Fungal infections of the nose and paranasal sinuses are frequent in this part of the world. One aspect of the increased frequency is the improved clinical, radiological and pathological diagnostic methods that are now available. Aspergillus is the commonest infecting fungus of the nose and the paranasal sinus. It is mainly a saprophytic spore producing fungus and can cause invasive and non-inva...

Background: Para nasal sinuses are air-filled cavities present in facial bones. Sinusitis is a common medical problem affecting millions of people annually. CT screening paranasal has the advantages showing bony details and good soft tissue outlines. valuable identification variations pneumatisation sphenoid characterization prior to FESS trans-sphenoidal surgeries. Materials Methods: This was ...

Invasive fungal sinusitis of the paranasal sinuses in a healthy immunocompetent person is uncommon. Isolated involvement of any paranasal sinus, particularly sphenoid sinus is rare. In this study, five immunocompetent patients who had no nasal complaints but obscure symptoms of headache and orbital symptoms such as diplopia, retro-orbital pain and loss of vision were diagnosed to be having fulm...

Intracranial complications of sinusitis, including meningitis, are uncommon in childhood. Among pediatric patients admitted for treatment of sinusitis, 3.2% were found to have an intracranial complication. Conversely, among pediatric patients with intracranial infections, only 2.4% had infections secondary to sinusitis. Infection of the sphenoid sinuses, however, merits particular concern. Thes...

We report three extremely rare cases of Streptococcus pneumoniae meningoencephalitis (SPM) after trans-sphenoidal surgery (TSS). Between 2004 and 2010, we experienced three cases of severe SPM after surgery out of 1,965 patients undergoing TSS (0.15%). The three cases included a 4-year-old boy with a large cystic craniopharyngioma, a 40-year-old man with a non-functioning pituitary adenoma, and...

During the last five decades, long-term therapy with immunosuppressive agents such as pulse cyclophosphamide in conjunction with high-dose corticosteroids has enhanced both patient survival and renal survival in patients with diffuse proliferative lupus nephritis. Nevertheless, severe side effects such as infectious complications remain the main cause of morbidity and mortality. Central nervous...

Chondroid chordoma commonly presents as clival osseous and extradural mass. A 15-year-old boy presented with progressive visual deficit, headaches and diplopia since three years. Computed tomography (CT scan) showed a skull base tumour, but was wrongly reported at the time as chronic sphenoidal sinusitis and nasal polyps. In the past three months, he developed dysphagia, urinary retention and c...

A 52-year-old man was admitted to our hospital because of headache and a sudden loss of right-sided vision. He had been diagnosed with central diabetes insipidus (CDI) four months before admission and had been treated with desmopressin. On admission, a magnetic resonance imaging (MRI) scan revealed sphenoidal sinusitis, inflammatory lesions in the right orbital apex, and hypophysitis (Picture a...

A 43-year-old male scuba diver presented with an acute history of painful unilateral visual loss after scuba diving. He had right-sided retrobulbar pain and headache. He was known to have sinusitis and had transient visual loss in two previous episodes after scuba diving. His visual acuity was hand motions and 20/20 in the right and left eye, respectively. There was no proptosis. He had a right...

This work is intended as a work of reference for those engaged in research work on mental diseases and so does not lend itself to an abstract. To be appreciated it must be read in the original. The book is beautifully got up. All the illustrations are from original specimens. The reproductions are from untouched photographs. There are four sketches in colour by well-known medical artists and ea...