title: Invasive aspergilloma of the frontal base causing internal carotid artery occlusion.
abstract: BACKGROUND
  Aspergilloma of the nasal cavity or paranasal sinuses rarely extends through the skull base into the intracranial space.
  
  
  METHODS
  The patient was a 79-year-old man in a nonimmunosuppressive state who had an invasive aspergilloma of the base of the frontal lobe.
  
  
  METHODS
  The patient, whose initial symptom was a visual disturbance, eventually developed an occlusion of the right internal carotid artery and died. The diagnosis was established by a transsphenoidal biopsy.
  
  
  CONCLUSIONS
  A rare case of invasive aspergilloma of the frontal base is described with emphasis on the findings of low-intensity mass on the T2-weighted magnetic resonance imaging (MRI). The prognosis in this disease is very poor. Early diagnosis and surgical treatment, combined with postoperative antifungal drug therapy, would have improved the outcome.
authors.affiliation: Department of Neurosurgery, Hiroshima University School of Medicine, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Satoh
authors.forename: T
authors.initials: T
authors.lastname: Uozumi
authors.forename: K
authors.initials: K
authors.lastname: Kiya
authors.forename: F
authors.initials: F
authors.lastname: Ikawa
authors.forename: K
authors.initials: K
authors.lastname: Kurisu
authors.forename: M
authors.initials: M
authors.lastname: Sumida
authors.forename: A
authors.initials: A
authors.lastname: Nakahara
mesh_terms: D000368:Aged; D000792:Angiography; D001228:Aspergillosis / Q000150:complications*; D001927:Brain Diseases / Q000150:complications* / Q000382:microbiology* / Q000473:pathology; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008297:Male