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Cerebral Myiasis, An Unexpected Intraoperative Finding - A Case Report and Systematic Review
Juan Fernando Ramón-Cuellar1, Juan Armando Mejía-Cordovez1, Gabriel Alexander Quiñones-Ossa2
1Department of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Abstract:
Postoperative complications, exemplified by surgical site infections, are commonplace in the realm of daily surgical interventions. Conversely, certain infectious entities, such as cerebral myiasis (CM), are distinctly rare. This report elucidates the clinical presentation of a 74-year-old female afflicted with a CSF fistula, within the context of a preceding surgical microvascular decompression employing a suboccipital craniotomy approach. Notably, the course of evaluation and treatment unveiled an intraoperative manifestation of severe CM. This case report underscores the critical significance of prompt identification, precise diagnostic elucidation, and comprehensive multidisciplinary management to optimize patient outcomes in instances of CM. Furthermore, a systematic literature review on CM supplements this report, contributing to the understanding of this infrequent complication.
Insights
This case report details a rare instance of severe cerebral myiasis (CM) discovered during surgery for a CSF fistula in a 74-year-old female. Prompt diagnosis and multidisciplinary care are crucial for managing this infrequent complication.
Area of Science:
- Neurosurgery
- Infectious Diseases
- Parasitology
Background:
- Postoperative complications, including surgical site infections, are common.
- Cerebral myiasis (CM) is a rare but severe complication.
- Microvascular decompression with suboccipital craniotomy is a standard neurosurgical procedure.
Observation:
- A 74-year-old female presented with a cerebrospinal fluid (CSF) fistula after microvascular decompression.
- Intraoperative evaluation revealed severe cerebral myiasis (CM).
Findings:
- The case highlights the intraoperative diagnosis of severe CM in a patient with a CSF fistula.
- A systematic literature review on CM was conducted to supplement the case report.
Implications:
- Emphasizes the importance of prompt identification and diagnosis of CM.
- Underscores the need for comprehensive, multidisciplinary management for optimal patient outcomes.
- Contributes to the understanding of rare neurosurgical complications like CM.
