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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.53 no.4 São Paulo Dec. 1995

https://doi.org/10.1590/S0004-282X1995000500017 

Forma granulomatosa da criptococose cerebral. Relato de caso

 

Cryptococcal granuloma of the brain: case report

 

 

Jean-Luc FobeI; Mauro Livio De BuoneII; Ricardo Borges Da CostaIII

ICoordenador do Setor de Neurocirurgia; Serviço de Neurocirurgia e Patologia da AACD - Associação de Assistência à Criança Defeituosa -(Diretor Dr. Ivan Ferrareto)
IIMédico Estagiário do Setor de Neurocirurgia; Serviço de Neurocirurgia e Patologia da AACD - Associação de Assistência à Criança Defeituosa -(Diretor Dr. Ivan Ferrareto)
IIIMédico Patologista; Serviço de Neurocirurgia e Patologia da AACD - Associação de Assistência à Criança Defeituosa -(Diretor Dr. Ivan Ferrareto)

 

 


RESUMO

A criptococose do sistema nervoso central na sua forma granulomatosa ou criptococoma é rara, sendo mais freqüente a forma meningítica ou meningoencefalítica. Apresentamos o case de um paciente de 56 anos, não portador da síndrome de imunodeficiência adquirida, com manifestação clínica inicial de síndrome de hipertensão intracraniana em decorrência de criptococoma occípito-parietal que foi removido cirurgicamente, seguido do tratamento medicamentoso com anfotericina-B e 5-fIuorocitosina. A fisiopatologia, o diagnóstico por imagem e o tratamento são revistos.

Palavras-chave:criptococose, cérebro, criptococoma, criptococose forma granulomatosa.


SUMMARY

Cryptococcal granuloma or toruloma of the central nervous system is very rare, meningoencefalitis or meningitis being most common. The authors present the case of an immunocompetent male patient of 56 years old with initial clinical symptoms of intracranial hypertension due to an occípito-parietal crytococcal granuloma that was removed surgically. The patients was treated post operatively with anphotericin-B and 5-fluorcytosine. Pathophysiology, neuroimaging, diagnosis and treatment of this rare entity are discussed.

Key-words: cryptococcosis, brain, toruloma, cryptococcal granuloma.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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Aceite: 3-julho-1995.

 

 

Dr. Jean-Luc Fobe - Serviço de Neurocirurgia, AACD -Av. Prof. Ascendino Reis 724 - 04027-000 São Paulo SP Brasil. FAX 011 570 2781.

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