안와두개골 방선균증의 진단과 치료

• 영문명: A case of orbitocranial actinomycosis : diagnostic and therapeutic challenge
• 발행기관: 대한두개저학회
• 저자명: 김성묵(Seong Mook Kim) 정나영(Na Young Jung)
• 간행물 정보: 『대한두개저학회지』제9권 제1호, 46~49쪽, 전체 4쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2014.06.30

영문 초록

Although actinomycosis has generally indolent clinical courses, it has high mortality risk if not treated properly, especially in cranial and spinal cases. However, orbitocranial actinomycosis is hard to be differentiated clinically and radiographically from other pathological conditions. A healthy 62-year-old man complained of a progressive headache and orbital pain, presenting a soft, tender subcutaneous mass over the right forehead. Imaging showed multiple enhanced lesions in the right orbit and the pterion with invasion to temporalis muscle and epidural space. In the operative view, white-yellowish lesion extended into the bone, muscle, and even the dura. Necrotic pus was drained from the extradural space. He was pathologically diagnosed with actinomycosis with sulfur granules. The lesion was completely regressed after antibiotic therapy for 20 weeks. The authors tried to determine the appropriate impression on this problematic lesion and optimal management of actinomycosis in neurosurgery.

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키워드

Actinomycosis Orbital Cranial Sulfur granules