Botturi A, Salmaggi A, Pollo B, Lamperti E, Erbetta A, Boiardi A
Istituto Nazionale Neurologico C. Besta, Via Celoria 11, I-20133, Milan, Italy.
Neurol Sci. 2006 Sep;27(4):284-7. doi: 10.1007/s10072-006-0686-8.
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.