CC BY-NC-ND 4.0 · IJNS
DOI: 10.1055/s-0039-1695082
Short Communication
Neurological Surgeons' Society of India

Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence

Kramadhari Harshith
1  Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
Krishnan Nagarajan
1  Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
Andi Sadayandi Ramesh
2  Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
Debasis Gochhait
3  Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
› Author Affiliations
Further Information

Publication History

received 26 July 2018

accepted 05 October 2018

Publication Date:
20 September 2019 (eFirst)

  

Abstract

Actinomycosis is caused by anaerobic gram-positive bacteria of Actinomyces genus, generally found as commensals in the human body and infection occurs when the immune system is compromised. We present the case of a 35-year-old diabetic woman, who presented with headache and sudden onset of left-sided weakness apart from scalp swelling, which on imaging showed transcalvarial transdural involvement, and subsequent surgical debridement and histopathologic analysis confirmed actinomycosis. Follow-up showed recurrence of the lesion at the same site following a period of remission. Calvarial involvement of actinomycosis is rare and can mimic even neoplastic or malignant lesions, hence requiring prompt diagnosis, treatment with surgery, and long-term antibiotic treatment to prevent complications.