Eumycetoma presenting as a cerebellopontine angle mass lesion

Clin Neurol Neurosurg. 2007 Jul;109(6):516-9. doi: 10.1016/j.clineuro.2007.03.003. Epub 2007 Apr 20.

Abstract

Eumycetoma in the cerebellopontine angle region is extremely uncommon with no case being reported as per an extensive review of the literature by the authors. The authors report a case of cerebellopontine angle eumycetoma in a young female managed by subtotal decompression and antifungal treatment. The pre-operative diagnosis of eumycetoma in this location is extremely difficult and the role of histopathology is very important to characterize this uncommon lesion. The prognosis of this bizarre pathology is dismal despite all treatment modalities as compared to the usual tumors of the cerebellopontine angle that generally have a favorable outcome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / administration & dosage
  • Antifungal Agents / administration & dosage
  • Brain Edema / diagnosis
  • Brain Stem
  • Cerebellar Diseases / diagnosis*
  • Cerebellar Diseases / surgery
  • Cerebellopontine Angle* / surgery
  • Decompression, Surgical
  • Drug Therapy, Combination
  • Female
  • Humans
  • Hydrocephalus / diagnosis
  • Hydrocephalus / surgery
  • Ketoconazole / administration & dosage
  • Magnetic Resonance Imaging
  • Mycetoma / diagnosis*
  • Mycetoma / surgery
  • Otitis Media with Effusion / complications
  • Otitis Media with Effusion / diagnosis
  • Scedosporium*
  • Tomography, X-Ray Computed
  • Ventriculoperitoneal Shunt

Substances

  • Antifungal Agents
  • Amphotericin B
  • Ketoconazole