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(a) Clinical photograph of a patient with bilateral Rhino-orbito-cerebral mucormycosis (ROCM) with extensive skull base osteomyelitis with multiple cranial nerve palsies bilaterally. (b and c) Radiology was suggestive of bilateral ethmoid sinusitis with involvement of bilateral infratemporal fossae, pterygopalatine fossae, inferior orbital fissure, superior orbital fissure, orbital apex, and bilateral cavernous sinuses with pachymeningitis. There was an erosion of the clivus, occipital condyles, basisphenoid, and anterior skull base.
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Radiology was suggestive of extensive skull base osteomyelitis [Figure 10].
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(a and b) Radiology in a case of rhino-orbito-cerebral mucormycosis (ROCM) suggestive of mucormycosis associated with the right internal carotid artery bifurcation aneurysm.
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CT scan was suggestive of subarachnoid hemorrhage. CT angiography of the brain showed a right ICA bifurcation aneurysm [Figure 11].
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(a and b) Preoperative and postoperative computed tomography (CT) scan images of the brain showing complete excision of bilateral temporal lobe abscesses. (c) CT scan image of the brain depicting left medial temporal lobe abscess. (d and e) In a case of rhino-orbito-cerebral mucormycosis (ROCM) with radiology which is suggestive of the involvement of all sinuses (pansinusitis), in the brain, a lesion is seen involving the right cavernous sinus and right medial temporal lobe with extension into the right cerebellopontine angle.
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She was diagnosed with post-COVID rhino-cerebro-palatal mucormycosis with bilateral temporal lobe abscesses [Figures 1a and b].
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(a-c) A case of rhino-cerebral mucormycosis (RCM) with the right frontal lobe abscess who underwent right frontal craniotomy and excision of abscess, along with combined (open plus endoscopic) debridement of sinuses. (d) Immediate postoperative computed tomography (CT) scan images showing complete excision of the abscess. (e) Postoperative contrast-enhanced CT (CECT) scan images at 3 months follow-up showing no residual lesion.
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At 3 months follow-up, he had no fresh complaints and radiology was suggestive of no residual or recurrent disease [Figure 2].
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A case of rhino-cerebral mucormycosis (RCM) with cribriform plate osteomyelitis and pachymeningitis.
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ROCM with cribriform plate osteomyelitis. Radiology was suggestive of pansinusitis, right orbital cellulitis (right eye perception of light negative) and pachymeningitis in the anterior cranial fossa with an erosion of the right cribriform plate [Figure 9].
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