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Case Reports
. 2015 Apr-Jun;10(2):129-31.
doi: 10.4103/1793-5482.145051.

Subdural actinomycoma presenting as recurrent chronic subdural hematoma

N J Ismail  1 , G M Bot  1 , S Sahabi  2 , S Aliu  1 , B Usman  1 , D J Shilong  1 , J O Obande  1 , B B Shehu  1
Affiliations
Case Reports

Subdural actinomycoma presenting as recurrent chronic subdural hematoma

N J Ismail et al. Asian J Neurosurg. 2015 Apr-Jun.

Abstract

Actimomycosis is a rare chronic bacterial infection of the central nervous system, and subdural actinomycoma is extremely rare. This case report brings to bear an uncommon association between subdural actinomycosis with chronic subdural hematoma. Subdural actinomycoma may present as a diagnostic conundrum and could be mistaken radiologically for either a subdural hematoma or an empyaema.

Keywords: Actimnomycosis; actinomycoma; actinomycosis; subdral haematoma; subdural subdural actinomycoma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Lesion appears isodense on the left fronto-parietal area. This could be confused for subdural haematoma
Figure 2
Figure 2
A contrast ring enhancing left parietal lesion which biconvex. This may be confused for an extradural abscess
Figure 3
Figure 3
Contrast ring enhancing lesion in the left frontoparietal presenting like a subdural empyaema
Figure 4
Figure 4
Multiple “sulphur like” granules. × 40 magnification
Figure 5
Figure 5
Multiple “sulphur like” granules. ×40 magnification
See this image and copyright information in PMC

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