Research Article

Long-Term Neuropsychological Sequelae in HIV-Seronegative Cryptococcal Meningoencephalitis Patients with and without Ventriculoperitoneal Shunts: A Cine MRI Study

Table 2

Neuroimaging findings of the patients in the acute stage and at follow-up.

Patient numberAntigen titerAcute MRI findingMRI f/u findingImage f/u interval (months)

Patients with shunts
11 : 1024Meningeal enhancement, mild
Hyperintensity over thalamus
Meningeal enhancement, progression
Hyperintensity over bilateral frontal and cerebellum
4
21 : 1024+Meningeal enhancement, diffuseDilated lateral left frontal ventricle98
31 : 512Meningeal enhancement, diffuse
VR dilatation, right side
Hyperintensity over right BG
Meningeal enhancement, regressive change
Hyperintensity over bilateral frontoparietal, basal ganglia, and thalami
24
41 : 1024Meningeal enhancement, diffuse
Hyperintensity over bilateral occipital, right high frontal, and parietal, right genus of corpus callosum
Meningeal enhancement, diffuse
Hyperintensity over right genus of corpus callosum and bilateral occipital lesion regression
13
5NegativeDilated bilateral ventricles (CT)Hyperintensities over bilateral frontoparietal area124
6>1 : 1024Meningeal enhancement, diffuse
Hyperintensity over suprasellar area
Complete regression50
71 : 128Meningeal enhancement, diffuse
Hyperintensity over bilateral cerebellum and bilateral BG
Dilated lateral ventricles
Hyperintensity over bilateral cerebellum
35
8NegativeProminent ventricles
Hyperintensity over bilateral BG
Complete regression111
91 : 8Meningeal enhancement, diffuse
VR dilatation, right side
Meningeal enhancement, diffuse
VR dilatation, right side
120
101 : 2048Hyperintensity over left frontoparietal area
Dilated bilateral ventricles
Complete regression97

Patients without shunts
111 : 8+VR dilatation, bilateralComplete regression117
121 : 8No active lesionNo active lesion132
131 : 256+No active lesionNo active lesion97
14NegativeNo active lesion (CT)No active lesion115
151 : 128Meningeal enhancement over posterior fossa and perivascular space of supratentorium,
VR dilatation, bilateral
Complete regression12
16NoneNo active lesion (CT)No active lesion127
171 : 256Meningeal enhancement over
right occipital and bilateral central sulci
Hyperintensity over right occipital and bilateral parietal area
Dilated lateral ventricles19
18NegativeNo active lesion (CT)Dilated lateral ventricles168