Contributed by: Nancy C. Karpinski, M.D.1, Reza Yaghmai, M.D., Ph.D.2, David Barba, M.D.2, Lawrence A. Hansen, M.D.1
Departments of 1Pathology (Neuropathology) and 2Neurosurgery UCSD Medical Center, San Diego, CA, USA
Published on line in March 1999
A 26-year-old male with a history of AIDS (CD4 count 20) and CNS toxoplasmosis (treated 4 years ago), complained of intermittent headaches and progressive neck pain. An MRI of the head and neck showed a 2 x 3 cm enhancing mass in the area of the left sphenoid wing (Figure 1) and a right-sided 2 x 2 cm enhancing intradural, extra-axial mass at the level of C2-3 (Figure 2). The patient underwent two separate surgical procedures revealing similar firm, hard, smooth, white/tan, irregularly lobulated masses.