Sekhar L N, Dujovny M, Rao G R
J Neurosurg. 1980 Jan;52(1):120-5. doi: 10.3171/jns.1980.52.1.0120.
A case is presented of Aspergillus fumigatus granuloma involving the sphenoid sinus, sella turcica, cavernous sinus, and the internal carotid artery. The diagnosis was established by a transsphenoidal biopsy. The infection proved difficult to treat and finally remitted after chemotherapy with a combination of amphotericin B, rifampin (rifampicin), and flucytosine (5-fluorocytosine). The spectrum of aspergillosis of the central nervous system is reviewed, and difficulties in treating this infection are considered.
本文报告一例烟曲霉肉芽肿累及蝶窦、蝶鞍、海绵窦及颈内动脉的病例。经蝶窦活检确诊。该感染治疗困难，最终在使用两性霉素B、利福平及氟胞嘧啶联合化疗后缓解。本文回顾了中枢神经系统曲霉病的范围，并探讨了治疗该感染的难点。
