Camargo Jose F, Seriburi Vimon, Tenner Michael, El Khoury Marc Y
Department of Medicine, Division of Infectious Diseases, New York Medical College, Valhalla, NY 10595, USA.
Department of Radiology, New York Medical College, Valhalla, NY 10595, USA.
Med Mycol Case Rep. 2012 Mar 15;1(1):9-12. doi: 10.1016/j.mmcr.2012.02.004. eCollection 2012.
We report a rare case of orbital apex syndrome following epidural steroid injections of the lumbar spine in an immunocompetent individual with osteomyelitis and discitis caused by Aspergillus fumigatus. We suspect that the craniospinal venous system, also known as the Batson's plexus, was the main route for steroid-facilitated disease propagation from the spine to intracranial structures.
我们报告了一例罕见病例,一名免疫功能正常的个体因烟曲霉引起骨髓炎和椎间盘炎,在腰椎硬膜外注射类固醇后发生眶尖综合征。我们怀疑颅脊静脉系统,也称为巴特森丛,是类固醇促进疾病从脊柱传播到颅内结构的主要途径。