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Case No. 148
0000-00-00~0000-00-00
출제자 : 관리자
Hit : 292
| Period | 0000-00-00~0000-00-00 |
|---|---|
| Diagnosis | |
| Clinical information | 47세 남자, 두통으로 내원 |
| Discussion | CNS Cryptococcosis Imaging findings: Ring enhancing solitary mass lesion in LT side pons and midbrain. Surrounding brain parenchymal edema and central necrosis are noted. Suspicious hemorrhagic component in central cavity of the mass. Increased cerebral blood volume and permeability, peripheral rim of this mass. Reference: CNS Cryptococcosis ?C neoformans ?Ubiquitous organism found in mammal and bird feces ?Pigeon droppings ?Affects CNS in HIV and other immunocompromised patients, rarely in immunocompetent patients ?Meningeal or parenchymal ?MR ?Hypointense T1 and hyperintense T2 ?Cluster of cysts in the BG and thalami ?Enhancement not usual unless immunocompetent ?Marked endothelial proliferation ?Increased permeability and vascularity MR Prince and FS Chew CNS Cryptococcal Infection AJNR, Nov/Dec 2005; 26: 2522-2526. |
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