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Meningitis following relapsing painful ophthalmoplegia in aspergillus sphenoidal sinusitis: a case report
A Botturi1, A Salmaggi, B Pollo
1Istituto Nazionale Neurologico C. Besta, Via Celoria 11, I-20133, Milan, Italy.
Abstract:
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.
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