{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T15:16:02Z","timestamp":1781968562051,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Neurological Medicine"],"published-print":{"date-parts":[[2020,9,8]]},"abstract":"<jats:p>Visual impairment can occur because of several mechanisms, including optic nerve disease and occasionally fungal sinusitis. An 87-year-old man presented with the loss of right visual acuity; he was diagnosed with optic neuritis. Steroid pulse therapy was not effective. One month later, he became unconscious because of meningitis, following which treatment with ceftriaxone and acyclovir was initiated. However, his consciousness deteriorated because of a subarachnoid hemorrhage caused by a ruptured aneurysm. Meningitis and vascular invasion caused by fungal rhinosinusitis were suspected, and the sinus mucosa was biopsied. He was pathologically diagnosed with invasive<jats:italic>Aspergillus<\/jats:italic>rhinosinusitis. Despite continuous liposomal amphotericin B administration, he died of cerebral infarction, following a right internal carotid artery occlusion. It is important to consider the possibility of<jats:italic>Aspergillus<\/jats:italic>as an etiological agent, especially when cerebrovascular events are associated with visual impairment.<\/jats:p>","DOI":"10.1155\/2020\/8885166","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T23:34:14Z","timestamp":1599608054000},"page":"1-5","source":"Crossref","is-referenced-by-count":2,"title":["A Case of Invasive<i>Aspergillus<\/i>Rhinosinusitis Presenting with Unilateral Visual Loss and Subsequently Associated with Meningitis, Subarachnoid Hemorrhage, and Cerebral Infarction"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5364-2280","authenticated-orcid":true,"given":"Koji","family":"Tsuzaki","sequence":"first","affiliation":[{"name":"Department of Neurology, Kansai Electric Power Hospital, Osaka, Japan"},{"name":"Division of Clinical Neurology, Kansai Electric Power Medical Research Institute, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Murakata","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Electric Power Hospital, Osaka, Japan"},{"name":"Department of Neurology, Nakatsu Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayu","family":"Kamei","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Electric Power Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiro","family":"Kikuya","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Electric Power Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuwa","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Electric Power Hospital, Osaka, Japan"},{"name":"Division of Clinical Neurology, Kansai Electric Power Medical Research Institute, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiaki","family":"Hamano","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Electric Power Hospital, Osaka, Japan"},{"name":"Division of Clinical Neurology, Kansai Electric Power Medical Research Institute, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(13)70259-x"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20520"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/moo.0000000000000507"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-199807000-00006"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817697279"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20014"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2012.08.003"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2012.11.003"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1086\/527382"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1385\/criai:30:3:165"},{"key":"11","doi-asserted-by":"crossref","first-page":"172","DOI":"10.4103\/1793-5482.144188","volume":"12","year":"2017","journal-title":"Asian J Neurosurg"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.169.2.3174990"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1086\/525258"}],"container-title":["Case Reports in Neurological Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2020\/8885166.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2020\/8885166.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2020\/8885166.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T11:40:48Z","timestamp":1668685248000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crinm\/2020\/8885166\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,8]]},"references-count":13,"alternative-id":["8885166","8885166"],"URL":"https:\/\/doi.org\/10.1155\/2020\/8885166","relation":{},"ISSN":["2090-6668","2090-6676"],"issn-type":[{"value":"2090-6668","type":"print"},{"value":"2090-6676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,8]]}}}