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Immunocompetent isolated cerebral mucormycosis presenting with obstructive hydrocephalus: illustrative case

Khoa N Nguyen, Lindsey M Freeman, Timothy H Ung, Steven Ojemann, and Fabio Grassia

to red blood cells (2,000) on cell count. The differential resulted in 8% neutrophils, 65% lymphocytes, and 27% monocytes. Cultures were negative. Four days later, the patient underwent planned endoscopic third ventriculostomy (ETV). An intraoperative decision was made to also complete an endoscopic biopsy. Induction of general anesthesia, endotracheal intubation, and patient head fixation in a neutral 30° elevated position were completed in typical fashion. After the usual surgical preparation, a right frontal burr hole was made at Kocher’s point, and the dura