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Isolated sphenoid fungal sinusitis is rare and difficult to diagnose because the presenting symptoms are often vague and nonspecific. In addition, cases with skull base erosion are extremely rare. In this paper, we describe a rare case of destructive, but non-invasive isolated sphenoid fungus ball with massive skull base erosion causing recalcitrant headache and hypertension. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:491-4)


Isolated sphenoid fungal sinusitis is rare and difficult to diagnose because the presenting symptoms are often vague and nonspecific. In addition, cases with skull base erosion are extremely rare. In this paper, we describe a rare case of destructive, but non-invasive isolated sphenoid fungus ball with massive skull base erosion causing recalcitrant headache and hypertension. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:491-4)