RECURRENT INTRA-CEREBRAL BLASTOMYCOTIC GRANULOMA - DIAGNOSIS AND TREATMENT

被引:16
作者
MORGAN, D [1 ]
YOUNG, RF [1 ]
CHOW, AW [1 ]
MEHRINGER, CM [1 ]
ITABASHI, H [1 ]
机构
[1] UNIV CALIF LOS ANGELES,LOS ANGELES CTY HARBOR MED CTR,DIV NEUROSURG,TORRANCE,CA 90509
关键词
D O I
10.1227/00006123-197904000-00008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors 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.
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页码:319 / 324
页数:6
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