Varshney Saurabh, Mishra Sarita, Bist S S, Bhagat Sanjiv, Agarwal Vinish, Kabdiwal Namita
Department of E.N.T., Himalayan Institute of Medical Sciences (HIHT University), Jollygrant Doiwala, Dehradun, 248140 Uttarakhand India.
Indian J Otolaryngol Head Neck Surg. 2013 Jan;65(1):48-51. doi: 10.1007/s12070-012-0601-y. Epub 2012 Nov 30.
Fungus cerebri is a relatively rare disease. The various reasons attributed to such pathology are, long standing mastoiditis, previous temporal lobe fracture, spontaneous herniation and most important common cause is post operative to mastoidectomy. The diagnosis is mainly clinical and supplemented by imaging studies. The commonly herniated part is the temporal lobe, but cerebellar herniation are also reported Different surgical modalities are used in managing this condition. Surgical approaches in the treatment of brain herniation into the mastoid or middle ear are, neurosurgical, otosurgical and combined. A case of fungus cerebri complicating mastoidectomy is presented and the pathogenesis is discussed.
脑真菌病是一种相对罕见的疾病。导致这种病理状况的各种原因包括，长期存在的乳突炎、既往颞叶骨折、自发性疝出，而最重要的常见原因是乳突切除术后。诊断主要依靠临床症状，并辅以影像学检查。常见的疝出部位是颞叶，但也有小脑疝出的报道。针对这种情况采用了不同的手术方式。治疗脑疝入乳突或中耳的手术入路有神经外科、耳外科及联合手术。本文报告了一例乳突切除术后并发脑真菌病的病例并讨论了其发病机制。
