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Table 1 Basic clinical data, findings of magnetic resonance imaging, and therapeutic outcome of the 7 HIV-negative cryptococcal meningoencephalitis patients with acute/subacute cerebral infarctions

From: Acute/subacute cerebral infarction (ASCI) in HIV-negative adults with cryptococcal meningoencephalitis (CM): a MRI-based follow-up study and a clinical comparison to HIV-negative CM adults without ASCI

Case No

Age (y)/Sex

Clinical presentations (duration before admission)

Underlying conditions

Findings of magnetic resonance imaging

Outcome

    

Sites of infarction

MRA

Others

 

1

70/M

Headache, fever, altered consciousness, right hemiparesis (2 months)

Diabetes mellitus, chronic renal disease

Bilateral thalami, rostrum of corpus callosum

Mild narrowing of right MCA, right PCA, right ACA

-

Survived

2

73/M

Fever, altered consciousness, left hemiparesis (1 month)

Previous stroke

Pons: hemorrhage infarct, left midbrain, right posterior limb internal capsule

Narrowing of left VA

Leptomeningeal enhancement; ventricular dilatation, V-R space dilatation

Survived

3

78/M

Altered consciousness, fever, right hemiparesis, headache, seizure (2 weeks)

Hepatitis C

Splenium

Narrowing of right ACA, MCA, ICA

V-R space dilatation

Survived

4

46/F

Altered consciousness, fever (2 months)

Hepatitis B, liver cirrhosis, s/p liver transplantation

Right pons, right corona radiata, cerebellum, bilateral temporal region, bilateral basal ganglia, bilateral high frontal, right occipital

Narrowing of right VA

Leptomeningeal enhancement, ventricular dilatation

Died

5

75/M

Altered consciousness (1 week)

Diabetes mellitus

1st: Right thalamus, left temporal region; 2nd: bilateral basal ganglion, midbrain

Narrowing of left ICA, right ICA, left MCA, right VA

-

Survived

6

68/F

Fever, altered consciousness, headache (2 months)

Chronic renal disease, hepatitis C, liver cirrhosis, hepatocellular carcinoma, previous stroke

Midbrain, right temporoparietal region

-

Leptomeningeal enhancement, ventricular dilatation

Died

7

71/F

Fever, altered consciousness, right hemiparesis, oculomotor palsy (2 weeks)

Diabetes mellitus, hypertension

Midbrain, bilateral thalami

Poor opacification of bilateral PCAs

Leptomeningeal enhancement, ventricular dilatation, V-R space dilatation

Died

  1. M = male; F = female; y = years; VR = Virchow-Robin; MCA = middle cerebral artery; ACA = anterior cerebral artery; ICA = internal carotid artery; PCA = posterior cerebral artery; VA = vertebral artery