Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient

Immunocompromised patients with Cryptococcal meningoencephalitis can develop focal neurological signs and symptoms. Stroke and abscess are usually the leading etiologies. Definitively localized non-fluctuating deficits mimicking a large middle cerebral artery (MCA) infarct without corresponding MRI...

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Autores principales: Tahhan, Fadi, Haritounian, Argin, Duong, Lisa, Haugen, Jessica, Liu, Antonio K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093100/
https://www.ncbi.nlm.nih.gov/pubmed/33959463
http://dx.doi.org/10.7759/cureus.14781
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author Tahhan, Fadi
Haritounian, Argin
Duong, Lisa
Haugen, Jessica
Liu, Antonio K
author_facet Tahhan, Fadi
Haritounian, Argin
Duong, Lisa
Haugen, Jessica
Liu, Antonio K
author_sort Tahhan, Fadi
collection PubMed
description Immunocompromised patients with Cryptococcal meningoencephalitis can develop focal neurological signs and symptoms. Stroke and abscess are usually the leading etiologies. Definitively localized non-fluctuating deficits mimicking a large middle cerebral artery (MCA) infarct without corresponding MRI findings is rare. Localized lobar cerebritis may be the underlying etiology. Despite having many different kinds of sequences, a significant pathological process can still evade MRI’s detection. Diffusion-weighted imaging (DWI) abnormality has also been seen in pathology other than ischemic stroke.
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spelling pubmed-80931002021-05-05 Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient Tahhan, Fadi Haritounian, Argin Duong, Lisa Haugen, Jessica Liu, Antonio K Cureus Neurology Immunocompromised patients with Cryptococcal meningoencephalitis can develop focal neurological signs and symptoms. Stroke and abscess are usually the leading etiologies. Definitively localized non-fluctuating deficits mimicking a large middle cerebral artery (MCA) infarct without corresponding MRI findings is rare. Localized lobar cerebritis may be the underlying etiology. Despite having many different kinds of sequences, a significant pathological process can still evade MRI’s detection. Diffusion-weighted imaging (DWI) abnormality has also been seen in pathology other than ischemic stroke. Cureus 2021-04-30 /pmc/articles/PMC8093100/ /pubmed/33959463 http://dx.doi.org/10.7759/cureus.14781 Text en Copyright © 2021, Tahhan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Tahhan, Fadi
Haritounian, Argin
Duong, Lisa
Haugen, Jessica
Liu, Antonio K
Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient
title Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient
title_full Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient
title_fullStr Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient
title_full_unstemmed Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient
title_short Cryptococcus Meningoencephalitis With Severe Localizing Neurological Deficits Mimicking a Large Right Middle Cerebral Artery Infarct in a HIV Patient
title_sort cryptococcus meningoencephalitis with severe localizing neurological deficits mimicking a large right middle cerebral artery infarct in a hiv patient
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093100/
https://www.ncbi.nlm.nih.gov/pubmed/33959463
http://dx.doi.org/10.7759/cureus.14781
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