{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:37:21Z","timestamp":1777581441259,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T00:00:00Z","timestamp":1641772800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>to describe a rare case of orbital apex syndrome caused by aspergillosis with acute presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case description<\/jats:title>\n                    <jats:p>retrospective case report of a 70-year-old man who developed unilateral ophthalmoplegia overnight. He was initially given the diagnosis of suspect Tolosa-Hunt syndrome, but biopsy of the involved tissue showed aspergillosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>orbital apex syndrome caused by fungal disease is a life-threatening condition that should be promptly diagnosed and treated. It may present acutely and should not be misdiagnosed as Tolosa-Hunt syndrome. To our knowledge this is the first such case report in the English ophthalmic language Literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721211073447","type":"journal-article","created":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T07:58:25Z","timestamp":1641801505000},"page":"NP45-NP48","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Frozen overnight: Acute orbital apex syndrome caused by aspergillosis"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9198-3281","authenticated-orcid":false,"given":"Francesco","family":"Pellegrini","sequence":"first","affiliation":[{"name":"Ophthalmology Department, \u201cSanto Spirito\u201d Hospital, Pescara, AUSL Pescara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4910-6757","authenticated-orcid":false,"given":"Erika","family":"Mandar\u00e0","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, \u201cMaria Patern\u00f2 Arezzo\u201d Hospital, Ragusa, ASP 7 Ragusa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Altin","family":"Stafa","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, Treviso, AULSS2 Marca Trevigiana, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Meli","sequence":"additional","affiliation":[{"name":"Microbiology Department, \u201cGiovanni Paolo II\u201d Hospital, Ragusa, ASP 7 Ragusa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,10]]},"reference":[{"key":"bibr1-11206721211073447","doi-asserted-by":"publisher","DOI":"10.2147\/EB.S180190"},{"key":"bibr2-11206721211073447","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-238944"},{"key":"bibr3-11206721211073447","doi-asserted-by":"publisher","DOI":"10.4103\/joco.joco_134_20"},{"key":"bibr4-11206721211073447","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-016-0189-1"},{"key":"bibr5-11206721211073447","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000001105"},{"key":"bibr6-11206721211073447","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.12055"},{"key":"bibr7-11206721211073447","first-page":"114","volume":"17","author":"McLean FM","year":"1996","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721211073447","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721211073447","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721211073447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:45:38Z","timestamp":1777405538000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/11206721211073447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,10]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/11206721211073447"],"URL":"https:\/\/doi.org\/10.1177\/11206721211073447","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,10]]}}}