Cerebral Myiasis, An Unexpected Intraoperative Finding – A Case Report and Systematic Review

Autores organización

• Alexandra Porras Ramirez

  Autor

Autores

• Ramón-Cuellar J.F.
• Mejía-Cordovez J.A.
• Quiñones-Ossa G.A.
• Leal-Isaza J.P.
• Vargas-Osorio M.P.
• Ramirez-Muñoz J.D.
• Ordóñez-Rubiano E.G.
• Amarillo D.G.
• Hakim-Daccach F.

Unidades de investigación

• Esclerosis múltiple y otros trastornos neurológicos

  Investigador

  Jaime Toro Gomez

• Grupo de Investigación Medicina Materno Fetal y Ginecología - El Bosque MMFG-EB

  Investigador

  Ximena Carolina Romero Infante

• Medicina Comunitaria y Salud Colectiva

  Investigador principal

  Alexandra Porras Ramirez

• Saneamiento Ecológico, Salud y Medio Ambiente

  

  Investigador

  Diana Marcela Sarmiento Senior

Resumen

Postoperative complications, exemplified by surgical site infections, are commonplace in the realm of daily surgical interventions. Conversely, certain infectious entities, such as cerebral myiasis (CM), are distinctly rare. This report elucidates the clinical presentation of a 74-year-old female afflicted with a CSF fistula, within the context of a preceding surgical microvascular decompression employing a suboccipital craniotomy approach. Notably, the course of evaluation and treatment unveiled an intraoperative manifestation of severe CM. This case report underscores the critical significance of prompt identification, precise diagnostic elucidation, and comprehensive multidisciplinary management to optimize patient outcomes in instances of CM. Furthermore, a systematic literature review on CM supplements this report, contributing to the understanding of this infrequent complication. © 2024 Elsevier Inc.

Keywords

• Central nervous system; Cerebral infection; Cerebral myiasis; Infection; Myiasis; Neurosurgery; Parasyte;Aged; Craniotomy; Female; Humans; Microvascular Decompression Surgery; Myiasis; fibrin glue; gelatin sponge; hydrogen peroxide; ivermectin; oxidized regenerated cellulose; sodium chloride; vancomycin; adult; aged; case report; cerebral myiasis; cerebrospinal fluid fistula; child; clinical article; emergency ward; female; follow up; hospitalization; human; incidental finding; intensive care unit; intraoperative period; larva; medical history; microvascular decompression; middle aged; myiasis; postoperative complication; postoperative period; preschool child; Review; rural area; single drug dose; suboccipital craniotomy; surgical infection; systematic review; treatment outcome; trigeminus neuralgia; tropics; wound dehiscence; craniotomy; diagnosis; diagnostic imaging; procedures; surgery