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May 1944

TORULAR GRANULOMA SIMULATING CEREBRAL TUMOR: REPORT OF TWO CASES

Author Affiliations

ATLANTA, GA.

From the Departments of Neurosurgery and Neurology, Emory University School of Medicine.

Arch NeurPsych. 1944;51(5):426-431. doi:10.1001/archneurpsyc.1944.02290290013003
Abstract

It is not generally recognized that torulosis of the brain may simulate an intracranial tumor. In the literature on torular infections, meningitis is emphasized as the common lesion, with disregard of the importance of gross granulomas. Probably a large granuloma simulating a true neoplasm occurs more frequently than the number of reported cases would indicate. The paucity of recorded cases may be explained by the difficulty of diagnosis, especially when studies of the spinal fluid reveal nothing significant. The comparative rarity of this entity seems to warrant a report of the following 2 cases.

REPORT OF CASES 

Case 1.—History.  —A white woman aged 49 was admitted to the hospital on Nov. 18, 1941, in a critical state. She was confused, irrational and stuporous, and the history obtained from the family did not appear to be reliable. She apparently had had periodic headaches associated with nausea and vomiting for at

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