Dental Scan and Mucormycosis: A Literature Review

Authors

  • Inderpreet Singh Oberoi

DOI:

https://doi.org/10.37506/ijocd.v10i1.17846

Keywords:

Rhinocerebral mucormycosis, imaging findings, MRI, neuroradiology

Abstract

The purpose of this study was to describe common radiographic patterns that may be useful in predicting
the diagnosis of rhinocerebral mucormycosis. Methods: We retrospectively evaluated the imaging and
clinical data of four males and one female, 3 to 72 years old, with rhinocerebral mucormycosis. Results:
All the patients presented with sinusitis and ophthalmological symptoms. Most of the patients (80%)
had isointense lesions relative to brain in T1-weighted images. The signal intensity in T2-weighted
images was more variable, with only one (20%) patient showing hyperintensity. A pattern of anatomic
involvement affecting the nasal cavity, maxillary sinus, orbit, and ethmoid cells was consistently
observed in all five patients (100%). Our series demonstrated a mortality rate of 60%. Conclusion:
Progressive and rapid involvement of the cavernous sinus, vascular structures and intracranial contents
is the usual evolution of rhinocerebral mucormycosis. In the context of immunosupression, a pattern of
nasal cavity, maxillary sinus, ethmoid cells, and orbit inflammatory lesions should prompt the diagnosis
of mucormycosis. Multiplanar magnetic resonance imaging shows anatomic involvement, helping in
surgery planning. However, the prognosis is grave despite radical surgery and antifungals.

Author Biography

Inderpreet Singh Oberoi

Senior Lecturer, Department of Oral Medicine & Radiology, Government Dental College, Srinagar,
Jammu and Kashmir, India

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Published

2022-02-02