Intracerebral Aspergilloma in an Immunocompetent Patient Resulting in Focal Seizure, Cranial Nerve Impairment, and Consecutive Hydrocephalus

Abstract

Purpose: We would like to present a case of brain abscess caused by Aspergillus fumigatus in a 53-year-old immunocompetent male patient. He developed severe left-sided headache 5 months previously with diplopia. Clinical manifestations were mental depression, mild paresis of (left) recurrent nerve, numbness in the second and third divisions of CN V, tinnitus, and inner ear amblyacousia and left CN VI palsy. MRI characteristics aroused the suspicion of per continuitatem growing tumor in the left middle cerebral fossa.