Midbrain infarction: a rare presentation of Cryptococcal meningitis

Kalita, J. ; Bansal, R. ; Ayagiri, A. ; Misra, U. K. (1999) Midbrain infarction: a rare presentation of Cryptococcal meningitis Clinical Neurology and Neurosurgery, 101 (1). pp. 23-25. ISSN 0303-8467

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Official URL: http://linkinghub.elsevier.com/retrieve/pii/S03038...


A 20-year-old farmer who had headache and fever for 1 month, suddenly developed left hemiplegia, tremor in left arm and titubation followed by deep coma. Cranial CT scan revealed an infarction in right crus of midbrain. His CSF revealed 66 mg/dl protein, 10 lymphocytes/mm3, and 70 mg/dl glucose. CSF was positive for cryptococcal antigen. He improved following i.v. amphotericin 0.5 mg/kg and fluconazole 200 mg daily, continued for 6 and 12 weeks respectively. Infarctions though rare in cryptococcal meningitis should be considered in patients with chronic meningitis with vasculitis.

Item Type:Article
Source:Copyright of this article belongs to Elsevier Science.
Keywords:Midbrain Infarction; Cryptococcal meningitis; Vasculitis
ID Code:19871
Deposited On:22 Nov 2010 11:45
Last Modified:11 Jun 2011 09:48

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