K. Suzuki et al., ASPERGILLUS ANEURYSM OF THE MIDDLE CEREBRAL-ARTERY CAUSING A FATAL SUBARACHNOID HEMORRHAGE, Internal medicine, 34(6), 1995, pp. 550-553
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, Sh
e suddenly died from SAH. Autopsy revealed massive SAH due to ruptured
Aspergillus aneurysm of the middle cerebral artery. Aspergillus was s
uggested 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.