title: Atypical craniocerebral eumycetoma: A case report and review of literature.
abstract: Craniocerebral eumycetomas are rare. They usually present with scalp swelling and discharging sinuses. Radiologically, they present as space-occupying lesions. We report a case of eumycetoma involving the left parietal cortex, bone, and subcutaneous tissue in a young male, farm laborer, who presented with seizures and blurring of vision. Imaging showed a dural based lesions enhancing moderately on contrast. To the best of our knowledge and belief, ours is the first published case in the English Literature where a eumycetoma has presented as a mass lesion without discharging sinuses. It is imperative to keep such atypical features of an infective etiology in mind because they may be one of differentials of "dural" based lesions where only a biopsy may suffice in the absence of significant mass effect to prove the diagnosis.
authors.affiliation: Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
authors.forename: Kommu Venkateswara
authors.initials: KV
authors.lastname: Rao
authors.affiliation: Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
authors.forename: Ankathi
authors.initials: A
authors.lastname: Praveen
authors.affiliation: Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
authors.forename: Santhavir
authors.initials: S
authors.lastname: Megha
authors.affiliation: Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
authors.forename: Challa
authors.initials: C
authors.lastname: Sundaram
authors.affiliation: Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
authors.forename: Anirudh Kumar
authors.initials: AK
authors.lastname: Purohith
keywords: Cranium; eumycetoma; fungal granuloma; osteomyelitis