Fig. 2 (September, 2002)
(A) T2 (B) T1-Gado

 

Because of the general opinion of lymphoma, he was given a trial of cortisone and the lesion decreased over a period of 2 weeks. Figure 2
 
The cortisone was tapered and stopped but on the follow-up exam one month later the lesion had resumed its original size and it increased in the following weeks with more edema. A biopsy was then planned and realized through a frontal transventricular

approach, revealing on pathology a granulomatous infection with PCR compatible with Wipple’s disease. Figure 4.

Further investigations did not substantiate this diagnosis so that specific treatment was not initiated. One month later, the lesion had grown further and forced medical consultants to agree to treatment. Figure 3
Fig. 3 (October, 2002)
(A) T2 (B) T1-Gado

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