Fungus cerebri is protrusion of brain and dura out of the cranial cavity into the mastoid and middle ear.
The various reasons attributed to fungus cerebri are, long standing mastoiditis, previous temporal lobe fracture, spontaneous herniation and most important common cause is post operative to mastoidectomy. The commonly herniated part is the temporal lobe.
Management consists of wide surgical exposure, amputation of necrotic, herniated brain tissue, watertight dural closure, and closure in layers of the overlying soft tissues.
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