PT  - JOURNAL ARTICLE
AU  - Hurst, Robert W.
AU  - Judkins, Alex
AU  - Bolger, William
AU  - Chu, Albert
AU  - Loevner, Laurie A.
TI  - Mycotic Aneurysm and Cerebral Infarction Resulting from Fungal Sinusitis: Imaging and Pathologic Correlation
DP  - 2001 May 01
TA  - American Journal of Neuroradiology
PG  - 858--863
VI  - 22
IP  - 5
4099  - http://www.ajnr.org/content/22/5/858.short
4100  - http://www.ajnr.org/content/22/5/858.full
SO  - Am. J. Neuroradiol.2001 May 01; 22
AB  - Summary: A 73-year-old man was admitted with invasive aspergillus of the sphenoid sinus. Endoscopic debridement of the sphenoid sinus was complicated by rupture of a mycotic cavernous carotid artery aneurysm with severe epistaxis. The aneurysm was closed emergently by endovascular coil placement. Subsequently, the mycotic aneurysm extended intradurally and caused fatal subarachnoid hemorrhage.The radiologic-pathologic data illustrate the mechanism of fungal mycotic aneurysm formation and growth. This case emphasizes the need for rapid diagnosis of potential fungal involvement of the central nervous system and suggests the necessity for aggressive treatment once fungal cerebrovascular involvement is identified.