Abstract
We report a case of intracranial Aspergillus granuloma that originated in and extended from the sphenoidal sinus. The patient, a 68-year-old male gardener, had no predisposing medical condition, such as cancer or immunosuppression. His symptoms, in order of appearance, were visual disturbance, headache, and ophthalmoparesis. A review of the literature concerning this rare disorder disclosed that these three symptoms, along with inflammation of the face, are common. On magnetic resonance (MR) imaging, the lesion appeared as an isointense mass extending from the sphenoidal sinus. Differentiation from malignant nasopharyngeal tumors is difficult, however, because the MR images are similar. Radical excision followed by aggressive antimycotic chemotherapy can result in a good outcome if a correct, early diagnosis is made.
