A case of cerebral toxoplasmosis in a pregnant non-immunocompromised patient.
Cerebral toxoplasmosis, a disease of immunocompromised individuals, is rare in immunocompetent persons. We present a case of cerebral toxoplasmosis in a non-immunocompro-mised pregnant woman. Her imaging studies revealed a mass lesion involving the right basal ganglia, periventricular grey matter, midbrain and pons suggesting a neoplastic pathology along with hydrocephalus. She underwent an endoscopic third ventriculostomy and biopsy of the lesion. Postoperatively her consciousness improved as the hydrocephalus was relieved. After a thorough gynaecological examination she gave birth to a healthy child via normal vaginal delivery. The histopathology examination of biopsy suggested an inflammatory pathology. Serological studies for toxoplasmosis were positive. After 6 weeks of anti-toxoplasma treatment follow-up imaging showed a significant decrease in the size of the lesion.
Alapatt
Jacob P
JP
Department of Neurosurgery, Govt. Medical College, Thissur, Kerala, India-673016. alapattjp@yahoo.com
Kutty
Raja K
RK
Jose
Byjo
B
Gopi
Priya
P
D000328:Adult; D001479:Basal Ganglia / Q000473:pathology*; D001706:Biopsy; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000209:etiology; D007231:Infant, Newborn; D008297:Male; D008636:Mesencephalon / Q000473:pathology*; D011149:Pons / Q000473:pathology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D011256:Pregnancy Outcome; D012698:Serologic Tests; D016781:Toxoplasmosis, Cerebral / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*