BACKGROUND AND PURPOSE: Ischemic stroke is a common complication of cryptococcal meningitis. Fluid attenuated inversion recovery vascular hyperintensity (FVH) is a neuroimaging marker of sluggish blood flow usually seen in the setting of acute stroke. FVH have never been described in the setting of meningitis. METHODS: Case report. RESULTS: A 20-year-old man with cryptococcal meningitis and a magnetic resonance imaging demonstrating FVH had subsequent neurological deterioration and was found to have bilateral ischemic stroke. CONCLUSIONS: In conditions with high risk of stroke, such as meningitis, the presence of FVH should alert the clinician to the possibility of impending infarction.
BACKGROUND AND PURPOSE:Ischemic stroke is a common complication of cryptococcal meningitis. Fluid attenuated inversion recovery vascular hyperintensity (FVH) is a neuroimaging marker of sluggish blood flow usually seen in the setting of acute stroke. FVH have never been described in the setting of meningitis. METHODS: Case report. RESULTS: A 20-year-old man with cryptococcal meningitis and a magnetic resonance imaging demonstrating FVH had subsequent neurological deterioration and was found to have bilateral ischemic stroke. CONCLUSIONS: In conditions with high risk of stroke, such as meningitis, the presence of FVH should alert the clinician to the possibility of impending infarction.
Authors: Andréa Gurgel Batista Leite; José E Vidal; Francisco Bonasser Filho; Roberta Schiavon Nogueira; Augusto César Penalva de Oliveira Journal: Braz J Infect Dis Date: 2004-09-08 Impact factor: 1.949
Authors: N Sanossian; J L Saver; J R Alger; D Kim; G R Duckwiler; R Jahan; F Vinuela; B Ovbiagele; D S Liebeskind Journal: AJNR Am J Neuroradiol Date: 2008-11-20 Impact factor: 3.825