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What Can be Worse Than Cerebral Tuberculosis?
A Concommitant Aspergillus Infection
Arch Neurol. 2003;60:1163-1164.
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A 21-YEAR-OLD woman had right leg weakness in May 2000. On examination, she had horizontal nystagmus and right pyramidal signs. Her hematologic, biochemical, chest radiograph, and cerebrospinal fluid findings were normal. Magnetic resonance imaging of the brain (Figure 1) revealed an area with increased enhancement in the left parietal lobe, but no specific diagnosis could be established. The patient recovered fully; however, 6 months later, she developed symptoms and signs of pulmonary tuberculosis (TBC) and was treated with anti-TBC medication.
Figure appears in full text version.
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Figure 1. Coronal postcontrast, T1-weighted image reveals an area of increased enhancement in the left parietal lobe.
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In March 2001, she had right partial motor epileptic seizures and right leg weakness. Magnetic resonance imaging (Figure 2) showed an increase of the original parietal lobe enhancement as well as extensive perifocal edema. No additional lesions were observed. A thorough investigation, including immunocompetence tests, blood cultures, antibody assays . . . [Full Text of this Article]
Sevasti Bostantjopoulou, MD
Department of Neurology Aristotelian University of Thessaloniki 9 Navarinou Square 54622 Thessaloniki, Greece (e-mail: bostkamb@spark.net.gr)
Zoe Katsarou, MD;
Ioannis Tsitouridis, MD;
Paul Nicolaidis, MD;
Vassilios Kimiskidis, MD;
Aristidis Kazis, MD
Thessaloniki
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