Isolated intraventricular aspergillosis in a schizophrenic patient.
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.
Chen
Der-Cherng
DC
Department of Neurosurgery, Buddhist Tzu Chi General Hospital, Buddhist Tzu Chi University, Hualien, Republic of China. vincenchen1966@gmail.com
Wu
Tsung Hsien
TH
Chen
Shang Chi
SC
Teo
Beng Tiong
BT
Yen
Pao Sheng
PS
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
D000935:Antifungal Agents