PRIMARY CEREBELLAR NOCARDIOSIS AND ALVEOLAR PROTEINOSIS

We report a patient with known asymptomatic pulmonary alveolar protein osis (PAP) who developed a cerebellar gait disorder and dysarthria cau sed bu an isolated cerebellar nocardial abscess. To our knowledge only 1 patient with PAP and isolated central nervous system nocardia infec tion has previously been reported. In this early report. diagnosis was established at autopsy. In our patient the clinical and MRI examinati ons of this cerebellar abscess are described and specific features lea ding to earlier diagnosis and succesful treatment are presented.