Surgical Therapy

  • Mehmet Turgut


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.


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



Acquired immunodeficiency syndrome


Blood-brain barrier


Central nervous system


Human immunodeficiency virus


Increased intracranial pressure


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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