Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopy

We describe a case of posterior fossa blastomycosis in an immunocompetent patient that mimicked high-grade neoplasm on neuroimaging. Histological analysis confirmed blastomycosis. Because the neuroimaging characteristics of intracerebral blastomycosis can be confused for neoplasm, these lesions must...

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Main Authors: Dhiraj Baruah, Saurabh Guleria, Michelle A. Michel, Sonia Gill
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013-01-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110210
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author Dhiraj Baruah
Saurabh Guleria
Michelle A. Michel
Sonia Gill
author_facet Dhiraj Baruah
Saurabh Guleria
Michelle A. Michel
Sonia Gill
author_sort Dhiraj Baruah
collection DOAJ
description We describe a case of posterior fossa blastomycosis in an immunocompetent patient that mimicked high-grade neoplasm on neuroimaging. Histological analysis confirmed blastomycosis. Because the neuroimaging characteristics of intracerebral blastomycosis can be confused for neoplasm, these lesions must be confirmed histologically before initiating aggressive treatment for presumptive high-grade neoplasm. To our knowledge, it is the first description of a neoplasm mimic on MRS in the setting of intracranial blastomycosis.
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institution OA Journals
issn 2277-954X
2277-9167
language English
publishDate 2013-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Neurosurgery
spelling doaj-art-aa755d56eab043cb88d31a9e70019cd22025-08-20T01:59:52ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672013-01-01020108708810.4103/2277-9167.110210Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopyDhiraj BaruahSaurabh GuleriaMichelle A. MichelSonia GillWe describe a case of posterior fossa blastomycosis in an immunocompetent patient that mimicked high-grade neoplasm on neuroimaging. Histological analysis confirmed blastomycosis. Because the neuroimaging characteristics of intracerebral blastomycosis can be confused for neoplasm, these lesions must be confirmed histologically before initiating aggressive treatment for presumptive high-grade neoplasm. To our knowledge, it is the first description of a neoplasm mimic on MRS in the setting of intracranial blastomycosis.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110210blastomycosismalignancyspectroscopy
spellingShingle Dhiraj Baruah
Saurabh Guleria
Michelle A. Michel
Sonia Gill
Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopy
Indian Journal of Neurosurgery
blastomycosis
malignancy
spectroscopy
title Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopy
title_full Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopy
title_fullStr Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopy
title_full_unstemmed Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopy
title_short Intracranial blastomycosis mimicking high-grade neoplasm on magnetic resonance imaging and spectroscopy
title_sort intracranial blastomycosis mimicking high grade neoplasm on magnetic resonance imaging and spectroscopy
topic blastomycosis
malignancy
spectroscopy
url http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110210
work_keys_str_mv AT dhirajbaruah intracranialblastomycosismimickinghighgradeneoplasmonmagneticresonanceimagingandspectroscopy
AT saurabhguleria intracranialblastomycosismimickinghighgradeneoplasmonmagneticresonanceimagingandspectroscopy
AT michelleamichel intracranialblastomycosismimickinghighgradeneoplasmonmagneticresonanceimagingandspectroscopy
AT soniagill intracranialblastomycosismimickinghighgradeneoplasmonmagneticresonanceimagingandspectroscopy