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Fungus cerebri (brain fungus): a rare complication of mastoidectomy

Saurabh Varshney1, Sarita Mishra1, S S Bist1

  • 1Department of E.N.T., Himalayan Institute of Medical Sciences (HIHT University), Jollygrant Doiwala, Dehradun, 248140 Uttarakhand India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|January 2, 2014
PubMed

Insights

Fungus cerebri, a rare condition often resulting from mastoidectomy, involves brain tissue herniation into the mastoid or middle ear. Diagnosis relies on clinical findings and imaging, with various surgical options available for treatment.

Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Pathology

Background:

  • Fungus cerebri is a rare condition characterized by brain herniation into the mastoid or middle ear.
  • Common causes include chronic mastoiditis, temporal bone fractures, spontaneous herniation, and post-mastoidectomy complications.

Purpose of the Study:

  • To present a case of fungus cerebri complicating mastoidectomy.
  • To discuss the pathogenesis and diagnostic approaches for this rare condition.

Main Methods:

  • Diagnosis is primarily clinical, supported by neuroimaging studies.
  • Surgical management involves neurosurgical, otosurgical, or combined approaches.

Main Results:

  • The temporal lobe is the most commonly herniated brain region, though cerebellar herniation has been reported.
  • A specific case of fungus cerebri following mastoidectomy is detailed.

Conclusions:

  • Fungus cerebri, particularly post-mastoidectomy, requires careful clinical and radiological evaluation.
  • Multidisciplinary surgical strategies are essential for effective management.
Keywords:
Brain fungusFungus cerebriMasoidectomy

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