Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Aspergillus Aneurysm of the Middle Cerebral Artery Causing a Fatal Subarachnoid Hemorrhage
Kunihiko SUZUKI, Naoto IWABUCHI, Shigeru KURAMOCHI, Junko NAKANOMA, Yukio SUZUKI, Hiroshi SERIZAWA, Yoshiki HAMADA, Naoki KUMAGAI, Michiko TAKAHASHI, Kanji TSUCHIMOTO, Hideyo SHIMADA
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Keywords: fungal infection, paranasal sinusitis
JOURNAL FREE ACCESS

1995 Volume 34 Issue 6 Pages 550-553

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Abstract

A rare case of Aspergillus aneurysm of the central nervous system (CNS) leading to subarachnoid hemorrhage (SAH) is reported. An 83-year-old woman developed visual disturbance and headache. Computed tomographic scans showed no evidence of aneurysm or tumor in the intracranium. She suddenly died from SAH. Autopsy revealed massive SAH due to ruptured Aspergillus aneurysm of the middle cerebral artery. Aspergillus was suggested to have extended from the paranasal sinuses. Aspergillosis of CNS should be considered in patients with neurological symptoms such as visual disturbance and trigeminal neuralgia, especially in cases of the aged or immunocompromised.
(Internal Medicine 34: 550-553, 1995)

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