Abstract
Functional endoscopic sinus surgery (FESS) is a treatment of choice for fungal sinus ball (mycetoma), which is considered safe with a very low major complication rate. We present an unusual case of a 12-year-old female, who underwent FESS for a sphenoid sinus mycetoma and which was complicated by an acute, compressive epidural fluid collection. This presumably resulted from sinus irrigation in the setting of an under-appreciated skull base and mucosal defects causing a ball-valve effect. Our patient had a temporary neurologic deficit with complete recovery, however, similar complications can have fatal consequences.
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Capek, S., Carpenter, D., Mattos, J. et al. Compressive epidural collection as an unusual complication of FESS for a pediatric mycetoma. Childs Nerv Syst 37, 311–314 (2021). https://doi.org/10.1007/s00381-020-04651-1
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DOI: https://doi.org/10.1007/s00381-020-04651-1