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Surgical Therapy

  • Mehmet Turgut
Chapter

Abstract

Fungal granulomas and abscesses of central nervous system (CNS) are extremely rare lesions in many countries in the world; the optimal surgical intervention of these lesions is still one of the controversial topics in neurosurgery. Surgical therapy options for these space-occupying lesions within the brain and spinal cord include open surgical craniotomy/laminectomy procedure, minimal invasive stereotactic procedures (biopsy and aspiration, craniotomy, and placement of Ommaya reservoir), and other surgical procedures such as ventriculoperitoneal shunt for hydrocephalus, clipping or coiling for fungal aneurysms, and surgery for involvement of paranasal sinuses. It is concluded that a high index of suspicion for diagnosis of fungal mass lesions, granuloma, or abscess, involving the CNS and an appropriate treatment protocol including surgical intervention plus antifungal agents, is vital for these patients.

Keywords

Central nervous system Craniotomy Fungal abscess Fungal granuloma Fungal infection Laminectomy Outcome Surgery 

Abbreviations

AIDS

Acquired immunodeficiency syndrome

BBB

Blood-brain barrier

CNS

Central nervous system

HIV

Human immunodeficiency virus

IICP

Increased intracranial pressure

MRI

Magnetic resonance imaging

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mehmet Turgut
    • 1
  1. 1.Department of NeurosurgeryAydın Adnan Menderes University School of MedicineAydınTurkey

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