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We report a case of intracranial Aspergillus granuloma that originated in and extended from the sphenoidal sinus. The patient, a 68-year-old male gardener, had no predisposing medical condition, such as cancer or immunosuppression. His symptoms, in order of appearance, were visual disturb ance, headache, and ophthalmoparesis. A review of the literature concerning this rare disorder disclosed that these three symptoms, along with inflammation of the face, are common. On magnetic resonance (MR)doi:10.2176/nmc.28.1014 pmid:2462681 fatcat:n2khoaddmfbk7djxns54b4drqq