Haran R P, Chandy M J
Department of Neurological Sciences, Christian Medical College Hospital, Vellore, India.
Br J Neurosurg. 1993;7(4):383-8. doi: 10.3109/02688699309103492.
Intracranial aspergillus granulomas over a 12-year period were studied retrospectively. Three distinctive types of presentations were seen, namely nine patients had the rhinocerebral form with primary involvement of the air sinuses and secondary involvement of the skull base, cranial nerves and brain, three patients with the apparently purely intracranial form presented like any other space occupying lesion and one patient who had a 'stroke-like' presentation had a parasellar lesion. None of these patients were immunocompromised. The clinical features, and the medical and surgical options are discussed together with outcome.
对12年间的颅内曲霉菌肉芽肿进行了回顾性研究。观察到三种不同的表现类型，即9例患者为鼻脑型，最初累及鼻窦，继而累及颅底、颅神经和脑；3例明显为单纯颅内型的患者表现与其他占位性病变相同；1例有“类中风”表现的患者有鞍旁病变。这些患者均无免疫功能低下情况。文中讨论了临床特征、内科及外科治疗选择以及治疗结果。
