Rewati Raman Sharma International Journal of Surgery

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Fungal infections of the nervous system: Current perspective and controversies in management Rewati Raman Sharma International Journal of Surgery Volume 8, Issue 8, Pages 591-601 (January 2010) DOI: 10.1016/j.ijsu.2010.07.293 Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 1 A T1 weighted axial MR image following contrast infusion, in a well diagnosed case of cryptococcal meningitis, showing small multiple enhancing areas in the white matter in both the cerebral hemispheres representing foci of cryptococcal infection. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 2 A Computed Topographic axial scan in a diagnosed case of extensive paranasal sinusitis and sino-cranial aspergillosis showing a hyper-attenuation granulomatous lesion in the right thalamo-mesencephalic region causing hydrocephalus with periventricular lucencies. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 3 A computed tomographic axial scan following contrast administration in a case of disseminated candidiasis showing a right temporal abscess and an occipital abscess, both, treated with CT guided stereotactic surgery. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 4 An axial T1 weighted MR scan in a known fatal case of extensive sino-cranio-orbital mucormycosis showed a large left pontine abscess with variegated irregular abscess capsule. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 5 An axial plain CT brain scan showed a left frontal abscess with extensive edema and mass effects with sub-falcine herniation in a case of aspergillosis. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 6 Postoperative plain axial CT brain scan showing evidence of complete excision of aspergillotic abscess in the (L) frontal region with some relief in the mass effect and reversal of the sub-falcine herniation. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 7 A follow up CT brain scan showed recurrence of left frontal aspergillotic brain abscess before patient succumbed to his illness. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 8 A section of a gross pathological specimen in cerebral cryptococcosis showing extensive involvement of the brain matter by multiple cystic cavities that represented enlarged Virchow – Robin spaces. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 9 An axial T2 weighted MR image showing extensive involvement of paranasal sinuses and nasal cavity in a case of aspergillosis. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 10 An axial T2 weighted MR image in a case of aspergillosis showing extensive involvement of the left orbit with proptosis and paranasal sinuses. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 11 An axial CT brain scan showing right basal ganglionic infarction with mass effect in form of the obliteration of the right frontal horn of lateral ventricle in a case of right middle cerebral artery occlusion due to invasive mucormycosis from the paranasal sinuses. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

Fig. 12 An axial computed tomographic scan of the cervical spine showing the extensive involvement of the subcutaneous tissues and paraspinal muscles in a case of actinomycosis. International Journal of Surgery 2010 8, 591-601DOI: (10.1016/j.ijsu.2010.07.293) Copyright © 2010 Surgical Associates Ltd Terms and Conditions