Isolated neuroparacoccidioidomycosis as a pseudotumoral lesion in the absence of systemic disease.

Background: Paracoccidioidomycosis (PCM) is a systemic, progressive, noncontagious, and often chronic disease caused by the fungus that rarely affects the central nervous system (CNS). The condition is usually treated using antifungal drugs, and some cases may require surgery.

Case Description: A 55-year-old man, a smoker, without known comorbidities, was referred to the neurosurgery team with a history of a single epileptic seizure a week before hospital admission followed by progressive right- sided hemiparesis.