EURORAD ESR

Case 11497

Rhinocerebral mucormycosis : Medico-surgical emergency

Author(s)
Mouh Mouh L, Ammor H, Boujarnija H, Ameuraoui T, Fikri G, lamrani Y, Bellhoussine F, Maaroufi M, Boubbou M, Kamaoui I, Tizniti S

Chu Hassan Ii Fes
Service de Radiologie Fes
Maroc
Email:lolaclinique@hotmail.fr
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    MRI sequence axial
     

    MRI coronal view after injection of gadolinium: there is no enhancement of the mucous membrane of the right nasal fossa and the right ethmoidal cells.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    MRI coronal view after injection of gadolinium: there is no enhancement of the mucous membrane of the right nasal fossa.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    MRI axial view after injection of gadolinium: there is no enhancement of the mucous membrane of the right ethmoidal cells.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    MRI axial view T2WI: fluid-filled maxillary sinuses and mastoid cells.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    MRI axial view after injection of gadolinium: there is no enhancement of the mucous membrane of the right maxillary sinus, the mucous membrane of the left maxillary sinus is well enhanced (red arrow).

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Cerebral MRI
     

    Cerebral MRI: 3DT1C+: thrombosis of the right cavernous sinus (arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Infection;

    Cerebral MRI: 3DT1C+: thrombosis of the right ophtalmic vein (arrow)

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    Cerebral MRI
     

    Cerebral MRI: axial view T2WI: right temporal and cerebellar encephalitis lesions with hyerintense signal on T2.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Infection;

    Cerebral MRI: diffusion sequence: right temporal and cerebellar lesions with hyperintense signal.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Imaging sequences; Special Focus: Infection;
     
     
  • Figure 4
    Cerebral MRI

    MRI axial view after injection of gadolinium: septation of the right subcutaneous fat, and thickening of the underlying superficial fascia in relation with a facial cellulitis.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
MRI coronal view after injection of gadolinium: there is no enhancement of the mucous membrane of the right nasal fossa and the right ethmoidal cells.
 
MRI coronal view after injection of gadolinium: there is no enhancement of the mucous membrane of the right nasal fossa.
 
MRI axial view after injection of gadolinium: there is no enhancement of the mucous membrane of the right ethmoidal cells.
 
MRI axial view T2WI: fluid-filled maxillary sinuses and mastoid cells.
 
MRI axial view after injection of gadolinium: there is no enhancement of the mucous membrane of the right maxillary sinus, the mucous membrane of the left maxillary sinus is well enhanced (red arrow).
 
Cerebral MRI: 3DT1C+: thrombosis of the right cavernous sinus (arrow)
 
Cerebral MRI: 3DT1C+: thrombosis of the right ophtalmic vein (arrow)
 
Cerebral MRI: axial view T2WI: right temporal and cerebellar encephalitis lesions with hyerintense signal on T2.
 
Cerebral MRI: diffusion sequence: right temporal and cerebellar lesions with hyperintense signal.
 
MRI axial view after injection of gadolinium: septation of the right subcutaneous fat, and thickening of the underlying superficial fascia in relation with a facial cellulitis.
 
 
 
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