期刊
JOURNAL OF NEUROSURGERY-PEDIATRICS
卷 1, 期 6, 页码 493-495出版社
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/PED/2008/1/6/493
关键词
cranium; fungal granuloma; mycetoma; osteomyelitis
Craniocerebral maduromycetoma is extremely rare. The authors describe a case of maduromycetoma involving the left parietal cortex, bone, and subcutaneous tissue in a young male farm laborer who presented with left parietal scalp swelling that had progressed into a relentlessly discharging sinus. Computed tomography (CT) scanning of his brain revealed osteomyelitis of the parietal bone with an underlying homogeneously enhancing tumor. Intraoperatively, the mass was revealed to be a black lesion involving the bone, dura mater, and underlying cerebral cortex. It was friable and separated from the surrounding brain by a thick gliotic scar. Gross-total excision was performed, and the patient was placed on a 6-week regimen of itraconazole. To the authors' knowledge; this is the first instance of cerebral mycetoma with CT findings reported in the literature.
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