Abstract
As maduromycosis is mostly confined to lower extremities. It was rightly named as
“Madura foot” by John Gill in 1842, after the name of Madurai district, in Tamil Nadu
state of India. Mycetoma is a chronic granulomatous infection mostly caused by a true
fungus, Madurella mycetomatis (Eumycotic mycetoma). Craniocerebral involvement by eumycotic mycetoma is rare in world literature and
confined to few case reports only. Here we present an interesting case of craniocerebral
maduromycosis presenting with focal seizure, hemiparesis, and multiple discharging
sinuses all over the scalp. The patient was diagnosed by histopathologic biopsy and
managed conservatively with antifungal medications in view of widespread involvement
of the scalp, not amenable to surgery.
Keywords
craniocerebral maduromycosis - Madura head - “dot-in-circle” sign
