PDF herunterladen
CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2019; 08(03): 185-187
DOI: 10.1055/s-0039-1695082
Short Communication
Neurological Surgeons' Society of India

Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence

Kramadhari Harshith
1   Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
Krishnan Nagarajan
1   Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
Andi Sadayandi Ramesh
2   Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
Debasis Gochhait
3   Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received: 26. Juli 2018

Accepted: 05. Oktober 2018

Publikationsdatum:
20. September 2019 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Actinomycosis is caused by anaerobic gram-positive bacteria of Actinomyces genus, generally found as commensals in the human body and infection occurs when the immune system is compromised. We present the case of a 35-year-old diabetic woman, who presented with headache and sudden onset of left-sided weakness apart from scalp swelling, which on imaging showed transcalvarial transdural involvement, and subsequent surgical debridement and histopathologic analysis confirmed actinomycosis. Follow-up showed recurrence of the lesion at the same site following a period of remission. Calvarial involvement of actinomycosis is rare and can mimic even neoplastic or malignant lesions, hence requiring prompt diagnosis, treatment with surgery, and long-term antibiotic treatment to prevent complications.

Keywords

actinomycosis - transcalvarial involvement - transdural spread - magnetic resonance imaging - histopathologic diagnosis
 

  • References

  • 1 D’Ewart J, Dawson GD. Actinomycosis in the brain of a child. Br Med J 1927; 1 (3458) 718-719
    CrossrefPubMedSuche in Google Scholar
  • 2 Wickbom GI, Davidson AJ. Angiographic findings in intracranial actinomycosis. A case report and consideration of pathogenesis. Radiology 1967; 88 (03) 536-537
    CrossrefPubMedSuche in Google Scholar
  • 3 Kirsch WM, Stears JC. Actinomycotic osteomyelitis of the skull and epidural space. Case report. J Neurosurg 1970; 33 (03) 347-351
    CrossrefPubMedSuche in Google Scholar
  • 4 Funaki B, Rosenblum JD. MR of central nervous system actinomycosis. AJNR Am J Neuroradiol 1995; 16 (05) 1179-1180
    PubMedSuche in Google Scholar
  • 5 N’Dri Oka D, Ba Zeze V, Varlet G, Boni N, Broalet E, Boukassa L. [Craniocerebral actinomycosis] [in French]. Rev Neurol (Paris) 1999; 155 (12) 1082-1083
    PubMedSuche in Google Scholar
  • 6 Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ 2011; 343: d6099
    CrossrefPubMedSuche in Google Scholar
  • 7 King AD, Chan YL, Wong KS, Sung JJ, Fung K, Poon WS. Cranial actinomycosis. Singapore Med J 1998; 39 (10) 465-467
    PubMedSuche in Google Scholar
  • 8 Sundaram C, Purohit AK, Prasad VS, Meena AK, Reddy JJ, Murthy JM. Cranial and intracranial actinomycosis. Clin Neuropathol 2004; 23 (04) 173-177
    PubMedSuche in Google Scholar
  • 9 Budenz CL, Tajudeen BA, Roehm PC. Actinomycosis of the temporal bone and brain: case report and review of the literature. Ann Otol Rhinol Laryngol 2010; 119 (05) 313-318
    CrossrefPubMedSuche in Google Scholar
  • 10 Nomura M, Shin M, Ohta M, Nukui Y, Ohkusu K, Saito N. Atypical osteomyelitis of the skull base and craniovertebral junction caused by. Actinomyces . infection—case report. Neurol Med Chir (Tokyo) 2011; 51 (01) 64-66
    CrossrefPubMedSuche in Google Scholar
  • 11 Mohindra S, Savardekar A, Rane S. Intracranial actinomycosis: varied clinical and radiologic presentations in two cases. Neurol India 2012; 60 (03) 325-327
    CrossrefPubMedSuche in Google Scholar
  • 12 Roopesh Kumar VR, Madhugiri VS, Gundamaneni SK, Verma SK. Actinomycotic osteomyelitis of the cranial vault presenting with headache: an unusual presentation. BMJ Case Rep 2014; 2014: bcr2013202501
    PubMedSuche in Google Scholar
  • 13 Mabeza GF, Macfarlane J. Pulmonary actinomycosis. Eur Respir J 2003; 21 (03) 545-551
    CrossrefPubMedSuche in Google Scholar
  • 14 Hansen T, Kunkel M, Kirkpatrick CJ, Weber A. Actinomyces in infected osteoradionecrosis--underestimated?. Hum Pathol 2006; 37 (01) 61-67
    CrossrefPubMedSuche in Google Scholar