Indian J Med Microbiol Close
 

Figure 1 :A 52-year-old lady presented with insidious onset, gradually progressive, right-sided trigeminal and facial nerve palsy of 4 months’ duration. (a) Magnetic resonance imaging T2W axial sequence shows heterogeneously hyperintense lesion; (b, c) postcontrast T1W axial and coronal sequence shows enhancement of the lesion (d) in the right cerebellopontine angle. The histopathology of the postoperative surgical specimen by Grocott-Gomori stain, (e) periodic acid-Schiff stain, and PAS with Alcian blue stain (f) were positive for cryptococcus. CSF culture and India ink preparation were also positive for cryptococcus. The patient made a near total recovery with amphotericin and fl uconazole, though she had residual hydrocephalus, which improved with a ventriculoperitoneal shunt.

Figure 1 :A 52-year-old lady presented with insidious onset, gradually progressive, right-sided trigeminal and facial nerve palsy of 4 months’ duration. (a) Magnetic resonance imaging T2W axial sequence shows heterogeneously hyperintense lesion; (b, c) postcontrast T1W axial and coronal sequence shows enhancement of the lesion (d) in the right cerebellopontine angle. The histopathology of the postoperative surgical specimen by Grocott-Gomori stain, (e) periodic acid-Schiff stain, and PAS with Alcian blue stain (f) were positive for cryptococcus. CSF culture and India ink preparation were also positive for cryptococcus. The patient made a near total recovery with amphotericin and fl uconazole, though she had residual hydrocephalus, which improved with a ventriculoperitoneal shunt.