Abstract
The authors report a 12-mo-old girl with calcified cerebral cryptococcal granuloma. She was admitted with a 6-mo history of seizures. Laboratory examinations showed no abnormal findings. Electroencephalography revealed bilateral slow wave activity, greater in the right occipital region. CT showed an irregular calcified focus with small surrounding low density in the right parieto-occipital region. MRI demonstrated mixed signals without edema and visible flow-voids. The clinical symptoms mimicked intracranial vascular malformations. The diagnosis of cerebral cryptococcal granuloma was made by histopathology. Partial resection of the lesion with post-operatively antifungal and anticonvulsant therapy offered the satisfactory result. Cerebral cryptococcal granuloma is extremely rare, especially in infants. Calcification is indeed unusual. Cerebral cryptococcal granuloma should be included in the differential diagnosis of intracranial mass with calcification in infants.
References
Taneja J, Bhargava A, Loomba P, Dogra V, Thakur A, Mishra B. Cryptococcal granulomas in an immunocompromised HIV-negative patient. Indian J Pathol Microbiol. 2008;51:553–5.
Kamezawa T, Shimozuru T, Niiro M, Nagata S, Kuratsu J. MRI of a cerebral cryptococcal granuloma. Neuroradiology. 2000;42:441–3.
Konovalov AN, Pitskhelauri DI, Korshunov AG, Arutiunov NV, Imshenetskaia VF, Khukhlaeva EA. A cryptococcal granuloma of the midbrain. Zh Vopr Neirokhir Im N N Burdenko. 1999;2:33–6.
Mathews VP, Alo PL, Glass JD, Kumar AJ, McArthur JC. AIDS-related CNS cryptococcosis: Radiologic-pathologic correlation. AJNR Am J Neuroradiol. 1992;13:1477–86.
Tien RD, Chu PK, Hesselink JR, Duberg A, Wiley C. Intracranial cryptococcosis in immunocompromised patients: CT and MR findings in 29 cases. AJNR Am J Neuroradiol. 1991;12:283–9.
Nadkarni TD, Menon RK, Desai KI, Goel A. A solitary cryptococcal granuloma in an immunocompetent host. Neurol India. 2005;53:365–7.
Otsuji T, Koshu K, Endo S, Takaku A. Intracranial cryptococcal granuloma accompanied by cerebral aneurysm. Neurol Med Chir (Tokyo). 1984;24:628–31.
Zhou J, Li NY, Zhou XJ, Wang JD, Ma HH, Zhang RS. Sturge-Weber syndrome: a case report and review of literatures. Chinese Medical J (Engl). 2010;123:117–21.
Conflict of Interest
None.
Role of Funding Source
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zhu, JQ., Tao, XF., Bao, WQ. et al. Calcified Cerebral Cryptococcal Granuloma. Indian J Pediatr 80, 345–348 (2013). https://doi.org/10.1007/s12098-012-0758-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-012-0758-0