Magnetic resonance imaging and angiography in cerebral fungal vasculitis

We report on an 11-year old girl treated for leukemia who developed infarct s in the right lentiform nucleus and temporal lobe. Magnetic: resonance ang iography (MRA) showed mild intraluminal irregularities in the right carotid syphon and stenosis of the right proximal middle cerebral artery, suggesti ng vasculitis. Magnetic resonance Imaging (MRI) follow-up showed evolution of the initial infarct into an abscess. Stereotactic biopsy disclosed filam ents of aspergillus. This report emphasizes the fact that cerebral aspergil losis should be considered if MRA and MRI are indicative of vasculitis and cerebral infarction in immunosuppressed children.