Pseudocystic form of neurocryptococcosis in pregnancy: case report
We report a case of neurocryptococcosis which is unique in the literature because the patient had a pseudocystic form of the disease during pregnancy and without any evidence of AIDS. The clinical picture was that of intracranial hypertension and the epidemiological background was highly suggestive of cysticercosis. CT showed multiple round hypodense lesions in the basal ganglia and cerebellum, without contrast enhancement. Since a scolex was not visible, the diagnosis of neurocysticercosis was considered probable. CSF examination was not performed in view of its high risk. The patient had progressive downhill course. Autopsy disclosed multiple gelatinous pseudocysts in the cerebral and cerebellar gray matter, containing abundant Cryptococcus neoformans. Meningeal involvement was minimal. The child was delivered by caesarean section and was free of infection, but died later of hyaline membrane disease. The neuroimaging appearances of this rare instance of the pseudocystic form of neurocryptococcosis mimicked closely neurocysticercosis and only postmortem examination allowed correct diagnosis. The pseudocystic form has so far only been reported in AIDS.
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Academia Brasileira de Neurologia - ABNEURO
1999
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oai:scielo:S0004-282X19990004000232000-12-06Pseudocystic form of neurocryptococcosis in pregnancy: case reportNUCCI,ANAMARLIMACIEL JR,JAYME ANTUNESQUEIROZ,LUCIANO DE SOUZAMONTENEGRO,MARIA AUGUSTACARVALHO,RITA BARBOSA DE neurocryptococcosis neurocysticercosis pregnancy pseudocysts We report a case of neurocryptococcosis which is unique in the literature because the patient had a pseudocystic form of the disease during pregnancy and without any evidence of AIDS. The clinical picture was that of intracranial hypertension and the epidemiological background was highly suggestive of cysticercosis. CT showed multiple round hypodense lesions in the basal ganglia and cerebellum, without contrast enhancement. Since a scolex was not visible, the diagnosis of neurocysticercosis was considered probable. CSF examination was not performed in view of its high risk. The patient had progressive downhill course. Autopsy disclosed multiple gelatinous pseudocysts in the cerebral and cerebellar gray matter, containing abundant Cryptococcus neoformans. Meningeal involvement was minimal. The child was delivered by caesarean section and was free of infection, but died later of hyaline membrane disease. The neuroimaging appearances of this rare instance of the pseudocystic form of neurocryptococcosis mimicked closely neurocysticercosis and only postmortem examination allowed correct diagnosis. The pseudocystic form has so far only been reported in AIDS.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.57 n.3A 19991999-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000400023en10.1590/S0004-282X1999000400023 |
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NUCCI,ANAMARLI MACIEL JR,JAYME ANTUNES QUEIROZ,LUCIANO DE SOUZA MONTENEGRO,MARIA AUGUSTA CARVALHO,RITA BARBOSA DE |
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NUCCI,ANAMARLI MACIEL JR,JAYME ANTUNES QUEIROZ,LUCIANO DE SOUZA MONTENEGRO,MARIA AUGUSTA CARVALHO,RITA BARBOSA DE Pseudocystic form of neurocryptococcosis in pregnancy: case report |
author_facet |
NUCCI,ANAMARLI MACIEL JR,JAYME ANTUNES QUEIROZ,LUCIANO DE SOUZA MONTENEGRO,MARIA AUGUSTA CARVALHO,RITA BARBOSA DE |
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NUCCI,ANAMARLI |
title |
Pseudocystic form of neurocryptococcosis in pregnancy: case report |
title_short |
Pseudocystic form of neurocryptococcosis in pregnancy: case report |
title_full |
Pseudocystic form of neurocryptococcosis in pregnancy: case report |
title_fullStr |
Pseudocystic form of neurocryptococcosis in pregnancy: case report |
title_full_unstemmed |
Pseudocystic form of neurocryptococcosis in pregnancy: case report |
title_sort |
pseudocystic form of neurocryptococcosis in pregnancy: case report |
description |
We report a case of neurocryptococcosis which is unique in the literature because the patient had a pseudocystic form of the disease during pregnancy and without any evidence of AIDS. The clinical picture was that of intracranial hypertension and the epidemiological background was highly suggestive of cysticercosis. CT showed multiple round hypodense lesions in the basal ganglia and cerebellum, without contrast enhancement. Since a scolex was not visible, the diagnosis of neurocysticercosis was considered probable. CSF examination was not performed in view of its high risk. The patient had progressive downhill course. Autopsy disclosed multiple gelatinous pseudocysts in the cerebral and cerebellar gray matter, containing abundant Cryptococcus neoformans. Meningeal involvement was minimal. The child was delivered by caesarean section and was free of infection, but died later of hyaline membrane disease. The neuroimaging appearances of this rare instance of the pseudocystic form of neurocryptococcosis mimicked closely neurocysticercosis and only postmortem examination allowed correct diagnosis. The pseudocystic form has so far only been reported in AIDS. |
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Academia Brasileira de Neurologia - ABNEURO |
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1999 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000400023 |
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