Meningitis following relapsing painful ophthalmoplegia in aspergillus sphenoidal sinusitis: a case report.
We report the case of a 58-year-old woman in whom relapsing painful ophthalmoplegia related to a mycetoma of the sphenoid sinus gave origin to meningitis with markedly depressed glucose levels in the cerebrospinal fluid. Surgical exeresis of the mycetoma allowed aetiological diagnosis (aspergillosis) and--together with antimycotic therapy--led to durable clinical response.
Botturi
A
A
Istituto Nazionale Neurologico C. Besta, Via Celoria 11, I-20133, Milan, Italy.
Salmaggi
A
A
Pollo
B
B
Lamperti
E
E
Erbetta
A
A
Boiardi
A
A
D005260:Female; D005947:Glucose / Q000134:cerebrospinal fluid; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008581:Meningitis / Q000134:cerebrospinal fluid / Q000209:etiology* / Q000473:pathology; D008875:Middle Aged; D008271:Mycetoma; D009886:Ophthalmoplegia / Q000134:cerebrospinal fluid / Q000150:complications*; D015524:Sphenoid Sinusitis / Q000134:cerebrospinal fluid / Q000150:complications*; D014057:Tomography, X-Ray Computed / Q000379:methods
D005947:Glucose