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Cryptococcal intracerebral mass lesions

CT-pathologic considerations

Department of Neurology and Pathology (Dr. Garcia), Louisiana State University Medical Center of New Orleans, and the Department of Neurology and Psychiatry (Dr. Weisberg) and the Department of Medicine (Dr. Lacorte), Tulane Medical School, New Orleans, LA.

Two patients with cryptococcal intracerebral disease showed CT evidence of multiple round hypodense nonenhancing lesions in the gray matter. These lesions proved to be gelatinous pseudocysts rather than granulomas or abscesses. Pseudocysts may occur alone or with meningitis or granulomas. Recognition of these will avoid confusion with other infectious, vascular, or neoplastic conditions.

Address correspondence and reprint requests to Dr. Garcia, Department of Neurology, Louisiana State Medical School, 1542 Tulane Avenue, New Orleans, LA 70112.

Accepted for publication September 12, 1984.

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