Asma Javed Qureshi, Dr. Bqluees Yawar Faiz



Fungal infections are commonly found in immunocompromised individuals and rarely affect healthy beings. These in CNS are mostly imaged as ring enhancing lesions in brain, with differentials being tuberculomas, abscesses, meningitis and SOL. Aspergillomas in extra-axial location are quite rare, however if found may lead to grave prognosis. This 40 years old lady presented with headache and vertigo without any underlying co-morbids. On MRI, there appeared to be an extra-axial mass lesion having dural tail sign. Post-operatively, it proved to be aspergilloma on histopathology and culture. Even after surgical intervention, patient again had an episode of fits and vertigo. Our purpose of this case report is to highlight towards imaging features of SOL mimicking as meningioma which on biopsy turned out to be aspergilloma. Clinical and imaging features are discussed in this case, to help patients in future for early diagnosis of fungal etiology.

Keywords: Aspergilloma, MRI, meningioma, extra-axial, central nervous system (CNS)

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Dubey A, Patwardhan RV, Sampth S, Santosh V, Kolluri S, Nanda A. Intracranial fungal granuloma: analysis of 40 patients and review of the literature. Surg Neurol 2005;63(3):254–60.

Walsh TJ, Hier DB, Caplan LR. Fungal infections of the central nervous system: comparative analysis of risk factors and clinical signs in 57 patients. Neurology 1985;35(11):1654–7.

Golin V, Sprovieri SR, Canc¸ ado JE, Daniel JW, Mimica LM. Aspergillosis of the central nervous system. Sao Paulo Med J 1996;114(5):1274–7.

Ashdown BC, Tien RD, Felsberg GJ. Aspergillosis of the brain and paranasal sinuses in immunocompromised patients: CT and MR imaging findings. AJR Am J Roentgenol 1994;162(1):155–9.

Siddiqui AA, Bashir SH, Ali Shah A, Sajjad Z, Ahmed N, Jooma R, et al. Diagnostic MR imaging features of craniocerebral Aspergillosis of sinonasal origin in immunocompetent patients. Acta Neurochir (Wien) 2006;148(2):155–66.

Figueiredo EG, Fandoff E, Gomes M, et al. Tumoral form of aspergillosis in central nervous system (cerebral aspergilloma). Case report. Sao Paulo Med J 2003;121:251–3

Shankar SK, Mahadevan A, Sundram C, et al. Pathology of fungal infections in the central nervous system with special reference to the Indian scenario. Neurol India 2007;55:198–215

Shamim MS, Siddiqui AA, Enam SA, et al. Craniocerebral aspergillosis in immunocompetent host: surgical perspective. Neurol India 2007;55:274–81

Epstein NE, Hollingsworth R, Black K, Farmer P. Fungal brain abscesses (aspergillosis/mucormycosis) in two immunosuppressed patients. Surg Neurol 1991;35:286–289.

Verma, R., Singh, P., Kumar, A., & Paliwal, V. K. (2013). Cranial aspergilloma masquerading as meningioma. BMJ case reports, 2013, bcr2012008118.


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