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Journal of Neurology and Neurorehabilitation Research | Volume 4

November 04-05, 2019 | Melbourne, Australia

Neurology and Neurological Disorders

International Conference on

J Neurol Neurorehabil Res, Volume 4

Aspergillus sinusitis complicated with Meningitis and Multiple Cerebral Infarctions in

Immunocompetent patient

Fahad Salih Algreeshah

Specialized Medical Center, Saudi Arabia

e present this case who is a 33-year-old male

complaining of severe headache, neck pain,

photophobia, vomiting and high-grade fever of several

days. He had history of nasal polyp removal and recurrent

sinusitis in the last 8 years. On examination: conscious with

glasco coma scale (GCS) 15/15 and normal limbs strength

but with positive Babinski sign. For further observation,

he was admitted and full work-up was done. Even though

full empirical antibiotics were started, there was no

immediate improvement and he deteriorated dramatically

developing ocular deficit, hydrocephalus and lower

level of consciousness with multiple infarctions found at

different areas in brain. After that point, a decompressive

craniectomy was done, and multiple antibiotics and

antifungal medications were prescribed. However, he

deteriorated to GCS 3/15; cardiopulmonary resuscitations

were not successful, as he demised next day. It shall be

noted that aspergillosis can lead to difficult complications,

so diagnosis and treatments should not be delayed.

Speaker Biography

Fahad Salih Algreeshah, MD is a consultant at SpecializedMedical Centre in

Riyadh, Saudi Arabia. He graduated fromKing SaudMedical school in 1998.

He became Board certified in Neurology 2005. His interest is Headache

and Epilepsy. He did fellowship in epilepsy 2013 from TGH., Tampa. and

certified with ABCN in epilepsy monitoring. He had several publications in

Epilepsy and Epilepsy monitoring. He was awarded as the best trainee for

two consecutive years during training. He worked with groups to establish

SAEDMS which is a MS charity organization.