Rao Kommu Venkateswara, Praveen Ankathi, Megha Santhavir, Sundaram Challa, Purohith Anirudh Kumar
Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
Asian J Neurosurg. 2015 Jan-Mar;10(1):56. doi: 10.4103/1793-5482.151524.
Craniocerebral eumycetomas are rare. They usually present with scalp swelling and discharging sinuses. Radiologically, they present as space-occupying lesions. We report a case of eumycetoma involving the left parietal cortex, bone, and subcutaneous tissue in a young male, farm laborer, who presented with seizures and blurring of vision. Imaging showed a dural based lesions enhancing moderately on contrast. To the best of our knowledge and belief, ours is the first published case in the English Literature where a eumycetoma has presented as a mass lesion without discharging sinuses. It is imperative to keep such atypical features of an infective etiology in mind because they may be one of differentials of "dural" based lesions where only a biopsy may suffice in the absence of significant mass effect to prove the diagnosis.
颅内真菌瘤很罕见。它们通常表现为头皮肿胀和排脓窦道。在放射学上，它们表现为占位性病变。我们报告一例真菌瘤病例，累及一名年轻男性农民的左侧顶叶皮质、骨骼和皮下组织，该患者出现癫痫发作和视力模糊。影像学显示一个基于硬脑膜的病变，增强扫描时有中度强化。据我们所知和相信，我们的病例是英文文献中首例报道的真菌瘤表现为无排脓窦道的肿块病变。必须牢记这种感染性病因的非典型特征，因为它们可能是“硬脑膜”病变的鉴别诊断之一，在没有明显占位效应的情况下，可能仅通过活检就足以确诊。
