MRI of choroidal plexus involvement in intracranial cryptococcosis

J Comput Assist Tomogr. Jul-Aug 1993;17(4):547-50. doi: 10.1097/00004728-199307000-00005.

Abstract

Objective: The sensitivity of medical imaging in the diagnosis of intracranial cryptococcosis is poor. MRI can provide additional information in establishing this diagnosis.

Materials and methods: We present two cases of CNS cryptococcosis (HIV negative) studied by MRI and discuss the involvement of the ventricles and the choroid plexuses.

Results: The choroid plexuses are unusually enlarged and they enhance intensely. Intraventricular loculations were also noted including entrapment of CSF in the temporal horns.

Conclusion: The constellation of these findings is highly suggestive of cryptococcosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use
  • Brain Diseases / diagnosis
  • Brain Diseases / drug therapy
  • Brain Diseases / microbiology
  • Choroid Plexus / pathology*
  • Contrast Media
  • Cryptococcosis / diagnosis*
  • Cryptococcosis / drug therapy
  • Drug Combinations
  • Female
  • Gadolinium DTPA
  • Humans
  • Magnetic Resonance Imaging
  • Meglumine
  • Middle Aged
  • Organometallic Compounds
  • Pentetic Acid
  • Sensitivity and Specificity

Substances

  • Contrast Media
  • Drug Combinations
  • Organometallic Compounds
  • Meglumine
  • Pentetic Acid
  • Amphotericin B
  • Gadolinium DTPA