Abstract
Surgical Management Of Intracranial Invasive Aspergillosis In Immunocompetent Patients.
Highlights
Cerebral aspergillosis is severe parasitic disease which is rare in immunocompetent individual
Stereotatic biopsy was carried out on the patient and parasitological and histological examinations of the specimen concluded to a filamentous fungal infection of Aspergillus type
Culture and staining techniques categorized the specie as Aspergillus fumigatus
Summary
Cerebral aspergillosis is severe parasitic disease which is rare in immunocompetent individual. The invasive form with multiple visual involvements is usually seen with immunosuppression. New therapeutic agents such as voriconazole and capsofungine which are more save and efficacious have changed the outcome of this fatale cerebral infection. A 47 year old patient with no previous medical history presented with features of raised intracranial pressure, statokinetic cerebellar syndrome as well as left sided hemiparesis. The diagnosis of posterior fossa space occupying lesion was made. Magnetic resonance imaging and spectroscopy were in favor of a multiple infective process (figure 1). Stereotatic biopsy was carried out on the patient and parasitological and histological examinations of the specimen concluded to a filamentous fungal infection of Aspergillus type. Culture and staining techniques categorized the specie as Aspergillus fumigatus (fig 2)
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