Assuntos
Encefalopatias/veterinária , Doenças do Gato/diagnóstico , Criptococose/veterinária , Granuloma/veterinária , Animais , Antígenos de Fungos/análise , Encéfalo/microbiologia , Encéfalo/patologia , Encefalopatias/diagnóstico , Encefalopatias/microbiologia , Doenças do Gato/microbiologia , Gatos , Criptococose/diagnóstico , Criptococose/microbiologia , Diagnóstico Diferencial , Granuloma/diagnóstico , Granuloma/microbiologia , Imageamento por Ressonância Magnética/veterinária , Convulsões/microbiologia , Convulsões/veterináriaRESUMO
A 7-year-old cat was presented for seizures. Cerebrospinal fluid cytology and serology were consistent with a diagnosis of toxoplasmosis. The cat was treated with clindamycin but seizures continued and additional neurological signs developed over 6 months. A mass lesion was identified in the left cerebral hemisphere using magnetic resonance imaging (MRI). The lesion enhanced after gadolidium and a tumour was considered likely. Histologically, the lesion proved to be a cryptococcal granuloma and retrospective serology confirmed that the cat had cryptococcosis at its initial presentation. This report provides the first description in the veterinary literature of the MRI appearance of a cerebral cryptococcoma and emphasises the importance of performing cryptococcal antigen determination in cats with signs of intracranial disease.