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Neurologist. 2012 Jul;18(4):229-32. doi: 10.1097/NRL.0b013e31825bbf4d.

An unusual case of stroke.

Author information

1
Department of Neurology, University of Connecticut Health Center, The Stroke Center, Hartford, CT 06030, USA.

Abstract

New imaging techniques have allowed for the rapid and accurate diagnosis of stroke. In this case, we present a 58-year-old woman with multiple large vessel strokes on magnetic resonance imaging. The initial diagnostic workup centered on a rapidly progressive central nervous system vasculitis. Subsequent workup revealed an unusual infectious etiology--cryptococcal meningitis. Although fungal infections can cause vasculitis, this is the first report of a patient with multiple anterior and posterior circulation strokes secondary to Cryptococcus. The diagnosis in cases presenting with encepalopathy and without fever is often delayed.

PMID:
22735255
PMCID:
PMC3495309
DOI:
10.1097/NRL.0b013e31825bbf4d
[Indexed for MEDLINE]
Free PMC Article

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