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Joel M. Weinstein, MD; Fred A. Sattler, MD; Javad Towfighi, MD; Joseph Sassani, MD; Robert B. Page, MD

Arch Neurol. 1982;39(9):582-585.

Abstract
• Chronic Aspergillus meningitis and cerebral vasculitis occurred in a 67-year-old man. He experienced periorbital pain that increased in severity during a tenmonth period. Although no focal neurologic deficits were initially present, oculosympathetic paresis, corneal hypesthesia, and optic neuropathy developed. This is the first report, to our knowledge, of paratrigeminal syndrome with optic neuropathy due to aspergillosis. The case was also unusual because it was chronic and there was no extracerebral infection or predisposing factors, such as underlying malignancy or collagen vascular disease.

Author Affiliations
From the Departments of Ophthalmology (Drs Weinstein and Sassani), Neurology (Dr Weinstein), Medicine (Dr Sattler), Pathology (Drs Sassani and Towfighi), and Neurosurgery (Dr Page), The Milton S. Hershey Medical Center, Pennsylvania State University, Hershey.

Footnotes
Accepted for publication Jan 11, 1982.

Reprint requests to Department of Ophthalmology, The Milton S. Hershey Center, Pennsylvania State University, Hershey, PA 17033 (Dr Weinstein).

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