A rare case of isolated Cerebral Mucormycosis

Abstract

Purpose: To report a case of pure intracerebral mucormy

cosis with no nasal or para nasal sinus involvement.

Summary of the background: Exclusive intracerebral form

of mucormycosis is a very rare entity.

Methods: 60yr old diabetic male presented with left

hemiparesis. CT brain showed a right frontal hypodense

lesion adjacent to motor cortex with perilesional edema. MRI

brain showed a ring enhancing lesion with hypointense

centre with edema. Patient underwent right frontal craniotomy

and complete excision of lesion.

Results: The post-operative period was uneventful. Patient

had recovered from the preoperative neurological weakness.

HPE reported as mucormycosis. CT PNS didnot show any

evidence of nasal or para nasal sinus involvement. Patient

was started on oral posaconazole for 4 weeks.

Conclusion: We report a rare case of exclusively

intracerebral form of mucormycosis with no nasal or sinus

involvement.