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Opportunistic infections are on the rise because of an increasing number of patients with immunosuppression and their prolonged survival [1, 2]. Although invasive aspergillus sinusitis leading to a mycotic aneurysm of the intracavernous carotid artery is increasingly being reported, the magnetic resonance (MR) features supporting their mycotic origin are poorly known. A previous neuroradiological case report already extensively described the magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) findings of a fusiform aneurysm [3]. We now report the case of a saccular mycotic aneurysm involving the cavernous portion of the carotid artery, and discuss the imaging features supporting its mycotic origin.

MRI and MRA Features of a Saccular Mycotic Aneurysm of the Cavernous Carotid Artery Resulting from Invasive Aspergillus Sinusitis