Re: surgical management of intercranial fungal masses

[Guest guest]

In a message dated 12/15/2007 1:26:19 P.M. Pacific Standard Time,

jeaninem660@... writes:

_http://www.neurologhttp://www.http://www.nhttp://www_

(http://www.neurologyindia.com/article.asp?issn=0028-)

3886;year=2007;3886;year=3886;year=20073886;year=3886;year=2

Another great find, Jeanine!

Intracranial fungal masses are uncommon lesions in most neurosurgical

centers but are being increasingly diagnosed in not only immunocompromized but

also

immunocompetent patients especially in India. There should be a high index

of suspicion for these lesions and whenever an inflammatory mass is encountered

at surgery, the tissue from the intracranial mass should be subjected to

fungal cultures in addition to cultures for bacteria. Stereotactic procedures

might yield a good outcome in selected patients but whenever feasible safe

radical excision of the IFM along with normal nervous tissue around it should

be

done. Medical therapy with antifungal agents is required for prolonged

periods following surgery in patients with IFM. In spite of several advances in

imaging and surgical techniques and the advent of some newer antifungal agents,

the prognosis for patients with IFM continues to remain grim and mortality

rates range between 40 and 90%. In immunocompromized patients with IFM the

mortality rates are very high and the control of the underlying condition

usually

determines the outcome in these patients.

**************************************See AOL's top rated recipes

(http://food.aol.com/top-rated-recipes?NCID=aoltop00030000000004)

[Guest guest]

thank's Sharon, it's insane to not test and treat for fungal

illnesses right along with bacterial and viral. can't say I'm a big

fan of takeing antifungals. if I have to I'd like to have the proper

testing and the right antifulgal. and doctors that know what their

doing would be nice without haveing to drag my behind avross the

country.

>

>

> In a message dated 12/15/2007 1:26:19 P.M. Pacific Standard Time,

> jeaninem660@... writes:

>

> _http://www.neurologhttp://www.http://www.nhttp://www_

> (http://www.neurologyindia.com/article.asp?issn=0028-)

> 3886;year=2007;3886;year=3886;year=20073886;year=3886;year=2

>

>

> Another great find, Jeanine!

>

> Intracranial fungal masses are uncommon lesions in most

neurosurgical

> centers but are being increasingly diagnosed in not only

immunocompromized but also

> immunocompetent patients especially in India. There should be a

high index

> of suspicion for these lesions and whenever an inflammatory mass is

encountered

> at surgery, the tissue from the intracranial mass should be

subjected to

> fungal cultures in addition to cultures for bacteria. Stereotactic

procedures

> might yield a good outcome in selected patients but whenever

feasible safe

> radical excision of the IFM along with normal nervous tissue

around it should be

> done. Medical therapy with antifungal agents is required for

prolonged

> periods following surgery in patients with IFM. In spite of

several advances in

> imaging and surgical techniques and the advent of some newer

antifungal agents,

> the prognosis for patients with IFM continues to remain grim and

mortality

> rates range between 40 and 90%. In immunocompromized patients with

IFM the

> mortality rates are very high and the control of the underlying

condition usually

> determines the outcome in these patients.

>

>

>

> **************************************See AOL's top rated recipes

> (http://food.aol.com/top-rated-recipes?NCID=aoltop00030000000004)

>

>

>

[Guest guest]

I am having excellent results with the chlorine dioxide (Miracle

Mineral Supplement). It doesn't matter what fungi I have it kills them

all.

I'm still not at 100% and I don't know if I'll ever get back to 100%

but at least I'm feeling a lot better. My Secondary Adrenal

Insufficiency is gone. I go in for a final test to see if my body is

producing cortisol. They want to do the cortisol challenge test which

means getting steroids. I think I will decline this test and ask that

they just test my blood for cortisol. I'm going to a teaching hospital

and they don't know what they are doing anyway so no love lost. I do

like my doctor but being a professor she can't go against the

establishment. I'm so glad for my other MD in Atlanta she's great. I

owe the state of my health to her.

Best regards,

Sharon Hanson

> >