title: Isolated intraventricular aspergillosis in a schizophrenic patient.
abstract: Intracranial aspergillosis of the lateral ventricle is a rare condition and has not been reported in a schizophrenic patient. We report a 39-year-old male patient with underlying schizophrenia and a rapid deterioration of consciousness. Initial cranial computed tomographic images revealed focal dilatation of the posterior part of the right lateral ventricle with a severe mass effect and midline shift. The patient received an emergency endoscopic ventriculostomy, and the resected mass was proven to be aspergillus. The patient was postoperatively treated by prolonged external ventricular drainage and antifungal medication, with no recurrence of aspergillosis at the 12-month follow-up.
authors.affiliation: Department of Neurosurgery, Buddhist Tzu Chi General Hospital, Buddhist Tzu Chi University, Hualien, Republic of China. vincenchen1966@gmail.com
authors.forename: Der-Cherng
authors.initials: DC
authors.lastname: Chen
authors.forename: Tsung Hsien
authors.initials: TH
authors.lastname: Wu
authors.forename: Shang Chi
authors.initials: SC
authors.lastname: Chen
authors.forename: Beng Tiong
authors.initials: BT
authors.lastname: Teo
authors.forename: Pao Sheng
authors.initials: PS
authors.lastname: Yen
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage; D004724:Endoscopy; D006801:Humans; D008297:Male; D020953:Neuroaspergillosis / Q000188:drug therapy / Q000601:surgery*; D012559:Schizophrenia / Q000150:complications; D014057:Tomography, X-Ray Computed; D014696:Ventriculostomy
chemical_list: D000935:Antifungal Agents