Aspergillosis of the Petrous Apex and Meckel's Cave

ABSTRACT

Cranial cerebral aspergillosis is a rare entity in immunocompetent patients. Invasive disease involving the petrous apex and Meckel's cave has rarely been described. We present a case of localized invasive petrous apical and Meckel's cave disease in an immunocompetent patient who presented with hemicranial neuralgic pain.

KEYWORDS

Aspergillosis - petrous apex - Meckel's cave - computed tomography - MRI

REFERENCES

• 1 Rushton P, Battcock T, Denning A, Herbetko J, Hillier C, Nicholas D. Aspergillosis of the petrous apex.  Age Ageing. 2004;  33 317-319
• 2 Eloy J A, Bederson J B, Smouha E E. Petrous apex aspergillosis as a long-term complication of cholesterol granuloma.  Laryngoscope. 2007;  117 1199-1201
• 3 Kandpal H, Aneesh M K, Seith A, Sharma S. Symptomatic perineural extension of fungal sinusitis in an immunocompetent person: imaging features.  Singapore Med J. 2008;  49 e171-e174
• 4 Wiles C M, Kocen R S, Symon L, Scaravilli F. Aspergillus granuloma of the trigeminal ganglion.  J Neurol Neurosurg Psychiatry. 1981;  44 451-455
• 5 Hope W W, Walsh T J, Denning D W. The invasive and saprophytic syndromes due to Aspergillus spp.  Med Mycol. 2005;  43(Suppl 1) S207-S238
• 6 Rehermann B. Interaction between the hepatitis C virus and the immune system.  Semin Liver Dis. 2000;  20 127-141
• 7 Subramanian S, Kandpal H, Sharma R et al.. Invasive sinus aspergillosis with perineural spread in an immunocompetent patient.  Australas Radiol. 2007;  51(Suppl) B189-B192
• 8 Götze G, Bloching M, Hainz M, Knipping S. [Invasive aspergillosis of the skull base with orbit infiltration].  HNO. 2007;  55 560-563
• 9 Siddiqui A A, Bashir S H, Ali Shah A et al.. Diagnostic MR imaging features of craniocerebral Aspergillosis of sino-nasal origin in immunocompetent patients.  Acta Neurochir (Wien). 2006;  148 155-166 discussion 166
• 10 Suzuki K, Iwabuchi N, Kuramochi S et al.. Aspergillus aneurysm of the middle cerebral artery causing a fatal subarachnoid hemorrhage.  Intern Med. 1995;  34 550-553
• 11 Nonaka N, Yamazaki M, Onishi Y, Shibuya H, Okazaki E. [An autopsied case of pachymeningitis associated with a ruptured, cerebral aneurysm due to Aspergillus infection].  Rinsho Shinkeigaku. 2001;  41 673-678
• 12 Freudenstein D, Koerbel A, Beschorner R, Tatagiba M. Successful treatment of aspergillus granuloma involving the cavernous sinus and the middle fossa by using surgery and voriconazole. Case illustration.  J Neurosurg. 2007;  106 511
• 13 Knipping S, Holzhausen H J, Koesling S, Bloching M. Invasive aspergillosis of the paranasal sinuses and the skull base.  Eur Arch Otorhinolaryngol. 2007;  264 1163-1169