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Intramedullary spinal Histoplasma granuloma. Case report
J L Voelker1, J Muller, R M Worth
1Department of Surgery, Indiana University School of Medicine, Indianapolis.
Journal of Neurosurgery
|June 1, 1989
Summary
This study reports the first case of an intramedullary spinal histoplasmoma causing a Brown-Séquard lesion. Surgical removal successfully treated this rare cervical spinal cord granuloma.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Cerebral histoplasmomas are documented, but spinal intramedullary locations are rare.
- Histoplasmosis is a fungal infection that can affect the central nervous system.
Observation:
- A patient presented with a Brown-Séquard lesion.
- The lesion was identified as an intramedullary Histoplasma granuloma in the cervical spinal cord.
Findings:
- This is the first reported case of an intramedullary spinal histoplasmoma.
- The patient's Brown-Séquard syndrome was secondary to the cervical spinal granuloma.
Implications:
- Highlights the importance of considering fungal infections in spinal cord lesions.
- Demonstrates successful surgical management for this rare presentation.
- Adds to the literature on central nervous system histoplasmosis.