A patient with AIDS, treated with highly active antiretroviral therapy and trimethoprim-sulfamethoxazole, presented with confusion, a hemifield defect, and a mass lesion in the right occipital lobe. A brain biopsy confirmed granulomatous amebic encephalitis (GAE) due to Acanthamoeba castellanii. The patient was treated with fluconazole and sulfadiazine, and the lesion was surgically excised. Th...

This case illustrates the importance of determining the precise locus and extent of a lesion when attempting to correlate lesion site with auditory brainstem response (ABR) findings. The failure to document significant ABR findings in an individual with a large mass involving the low brain stem may initially appear to constitute a threat to the sensitivity of the ABR; however, careful review of...

Cerebral aspergillosis is a rare cause of brain expansive lesion in AIDS patients. We report the first culture-proven case of brain abscess due to Aspergillus fumigatus in a Brazilian AIDS patient. The patient, a 26 year-old male with human immunodeficiency virus (HIV) infection and history of pulmonary tuberculosis and cerebral toxoplasmosis, had fever, cough, dyspnea, and two episodes of seiz...

Dysembryoplastic neuroepithelial tumor (DNET) is a recently described, morphologically unique, and surgically curable low grade brain which included in the WHO CNS classification as neuronal mixed glial tumor. It usually seen children young adults. This entity first described by Damas-Duport 1998 non-recurring with an excellent prognosis. We present case of 30 year old female experiencing seizu...

how to cite this article: shetty g, avabratha k.s, rai b.s. ring-enhancing lesions in the brain: a diagnostic dilemma. iran j child neurol. 2014 summer;8(3): 61-64. abstract the most common radiological abnormality seen in young indian patients with epilepsy is single small enhancing (ring/disc) computed tomographic (ct) lesions. the two most common differential diagnosis of this lesion in clin...

Metastatic brain tumors from gastric cancer are extremely rare. A 61-year-old Korean woman, initially presenting with polydipsia and polyuria, was found to have metastatic lesions in the brain by MRI. We performed several diagnostic procedures to determine the origin of the brain metastases. She was revealed to have a soft tissue mass of the right adrenal gland and fungating ulcers in the stoma...

CT and MR imaging of the brain and gallium-67 scintigraphy showed an enhancing, gallium-avid mass in the left middle cranial fossa of a 10-year-old girl. Craniotomy revealed an inflammatory mass related to the left trigeminal nerve. The lesion contained rodlike bacteria, and serologic tests were positive for cat-scratch disease. Neurologic involvement in cat-scratch disease is uncommon, and the...