Craniocervical mycetoma caused by Streptomyces somaliensis

Date
1989
Authors
Ramboer J.H.
De Graaf A.S.
Hewlett R.H.
Kirby P.A.
Robson R.A.
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Magnetic resonance (MR) imaging, computerized tomography (CT) and clinical-pathological findings are described in a case of craniocervical mycetoma caused by the actinomycete Streptomyces somaliensis. Clinical features included epilepsy, visual and hearing disturbance, quadriplegia and incontinence. CT revealed a hyperdense, diffusely enhancing intra-extracranial mass, further defined by MR to involve the oropharyngeal region, skull base, cranial-cervical peridural spaces and brain. On treatment with Dapsone, the lesion decreased in size, with recovery of spinal cord function. The combined plain film, CT and MR images are considered to be diagnostic of this form of mycetoma.
Description
Keywords
dapsone, radioisotope, sulfadiazine, adult, atlantooccipital joint, case report, cervical spinal cord, computer analysis, computer assisted tomography, diagnosis, drug therapy, epilepsy, fungus, histology, human, male, mycetoma, nuclear magnetic resonance imaging, oral drug administration, priority journal, quadriplegia, streptomyces somaliensis
Citation
Journal of Medical Imaging
3
5-6