TORULAR GRANULOMA SIMULATING CEREBRAL TUMOR

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Abstract
It is not generally recognized that torulosis of the brain may simulate an intracranial tumor. In the literature on torular infections, meningitis is emphasized as the common lesion, with disregard of the importance of gross granulomas. Probably a large granuloma simulating a true neoplasm occurs more frequently than the number of reported cases would indicate. The paucity of recorded cases may be explained by the difficulty of diagnosis, especially when studies of the spinal fluid reveal nothing significant. The comparative rarity of this entity seems to warrant a report of the following 2 cases. REPORT OF CASES Case 1.—History. —A white woman aged 49 was admitted to the hospital on Nov. 18, 1941, in a critical state. She was confused, irrational and stuporous, and the history obtained from the family did not appear to be reliable. She apparently had had periodic headaches associated with nausea and vomiting for at

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