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Images in Neurology
August 2003

What Can be Worse Than Cerebral Tuberculosis?A Concommitant Aspergillus Infection

Arch Neurol. 2003;60(8):1163-1164. doi:10.1001/archneur.60.8.1163

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.

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