Chen Der-Cherng, Wu Tsung Hsien, Chen Shang Chi, Teo Beng Tiong, Yen Pao Sheng
Department of Neurosurgery, Buddhist Tzu Chi General Hospital, Buddhist Tzu Chi University, Hualien, Republic of China.
J Craniofac Surg. 2010 Jul;21(4):1291-4. doi: 10.1097/SCS.0b013e3181e43245.
Intracranial aspergillosis of the lateral ventricle is a rare condition and has not been reported in a schizophrenic patient. We report a 39-year-old male patient with underlying schizophrenia and a rapid deterioration of consciousness. Initial cranial computed tomographic images revealed focal dilatation of the posterior part of the right lateral ventricle with a severe mass effect and midline shift. The patient received an emergency endoscopic ventriculostomy, and the resected mass was proven to be aspergillus. The patient was postoperatively treated by prolonged external ventricular drainage and antifungal medication, with no recurrence of aspergillosis at the 12-month follow-up.
侧脑室颅内曲霉菌病是一种罕见疾病，尚未在精神分裂症患者中报道过。我们报告一例39岁男性患者，患有精神分裂症，意识迅速恶化。最初的头颅计算机断层扫描图像显示右侧脑室后部局灶性扩张，伴有严重的占位效应和中线移位。患者接受了紧急内镜下脑室造瘘术，切除的肿块经证实为曲霉菌。患者术后接受了长时间的外部脑室引流和抗真菌药物治疗，在12个月的随访中曲霉菌病未复发。
