AJDRAJNR - American Journal of Neuroradiology

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Case Report
BRAIN

Cryptococcal Choroid Plexitis as a Mass Lesion: MR Imaging and Histopathologic Correlation

Jerry M.E. Kovoora, Anita Mahadevanb, Jayakumar P. Narayana, Srikanth S. Govindappaa, P. Satishchandrac, Anisya V. Talyc and S. K. Shankarb

a Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, India
b Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bangalore, India
c Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India

Address reprint requests to Prof. P.N. Jayakumar, Head of Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore 560 029, India

Summary: Cryptococcosis is a relatively common mycotic infection of the CNS caused by a ubiquitous saprophytic fungus. We present an unusual case of CNS cryptococcosis in an immunocompetent patient. Florid choroid plexitis resulted in the formation of intraventricular enhancing mass lesions that filled the ventricles and were hyperintense to associated periventricular edema on T2-weighted MR images. We also noted lesions corresponding to microcystic, dilated Virchow-Robin spaces in the basal ganglia that were characteristic of cryptococcal infection.




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R Kumari, M Raval, and A Dhun
Cryptococcal choroid plexitis: rare imaging findings of central nervous system cryptococcal infection in an immunocompetent individual
Br. J. Radiol., January 1, 2010; 83(985): e14 - e17.
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