Rhinocerebral mucormycosis in a diabetic patient with cranial nerve involvement

摘要: We report a case of 50- year-old diabetic edentulous woman (FBS=396mg/dl) with chief complain left side facial pain treated by her physician corticoid and antibiotic for 15 days without any improvement. With exacerbation skin paresthesia she was referred to oral medicine department Mashhad school dentistry neurologist diagnosis dental infection. On examination, had palsy, ptosis, mass which anterior ear. Left eye loss vision fixed. Due involvement II, III, IV, V, VI, VII cranial nerves, maxillary sinus, orbit base the skull we neurosurgery clinical mucormycosis. maxillectomy along enucleation carried out. Histopathology confirmed diagnosis. Patient put on amphotericin B under medical care in hospital. Follow up showed patient is responding good health. Early prompt treatment can reduce mortality morbidity this lethal fungal KEY WORD: Cranial nerve Diabetes mellitus, Neuropathy, Fungal, sinusitis, Proptosis, Rhinocerebral,