Morgan D, Young R F, Chow A W, Mehringer C M, Itabashi H
Neurosurgery. 1979 Apr;4(4):319-24. doi: 10.1227/00006123-197904000-00008.
We present a patient with a recurrent intracerebral blastomycotic granuloma. The computerized tomographic scan appearance of this lesion is illustrated. Of the 81 reported cases of intracranial blastomycosis, only 35 have represented solid intracerebral lesions; the other patients have had spinal lesions or meningitis. This patient represents the first reported recurrence of an intracerebral blastomycotic granuloma. The treatment utilized, surgical resection combined with intravenous and intraventricular amphotericin B, represents a unique approach to this problem. The diagnosis and currently advocated treatment of intracranial blastomycosis is reviewed, particularly in regard to the potential for recurrence of blastomycosis.
我们报告了一例复发性脑内芽生菌性肉芽肿患者。文中展示了该病变的计算机断层扫描图像。在81例已报道的颅内芽生菌病病例中，只有35例表现为脑内实性病变；其他患者患有脊髓病变或脑膜炎。该患者是首例报道的脑内芽生菌性肉芽肿复发病例。所采用的治疗方法，即手术切除联合静脉及脑室内注射两性霉素B，是针对这一问题的独特方法。本文对颅内芽生菌病的诊断及目前提倡的治疗方法进行了综述，尤其涉及芽生菌病复发的可能性。
