title: [An autopsy case of cryptococcal meningoencephalitis: correlation of MRI and pathologic findings].
abstract: A comparative study of MRI and pathology was performed on a case of cryptococcal meningoencephalitis. An 11-year-old female presented with confusion and vomiting. On admission, CSF examination revealed spherical fungal cells with mild pleocytosis, decreased glucose and elevated protein level. MRI showed multiple punctate lesions in the basal ganglia with high intensity on T2-weighted image, while enhanced MRI revealed diffuse meningeal involvement. Post-mortem examination disclosed that the T2-weighted lesions found in the basal ganglia were aggregated small cystic lesions consisting of a cryptococcal invasion of Virchow-Robin spaces, termed "soap bubble lesions", characteristic findings of cryptococcal meningoencephalitis. Thus MRI findings of the basal ganglia and meninges may help to diagnose cryptococcal meningoencephalitis.
authors: Divisions of Pediatric Neurology, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi, Osaka. h_ueda@omichikai.or.jp
authors: Hitoshi
authors: H
authors: Ueda
authors: Yasuhisa
authors: Y
authors: Toribe
authors: Yuko
authors: Y
authors: Kuwae
authors: Makoto
authors: M
authors: Takeuchi
authors: Masahiro
authors: M
authors: Nakayama
authors: Shinobu
authors: S
authors: Ida
authors: Nobuhiko
authors: N
authors: Okamoto
authors: Yasuhiro
authors: Y
authors: Suzuki
mesh_terms: D001921:Brain / Q000473:pathology; D002648:Child; D003453:Cryptococcosis; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008590:Meningoencephalitis / Q000382:microbiology* / Q000473:pathology*