Shanthi Viswanathan, Carol Lai, Sharon Tai Mei Ling, Suraya Yusoff and Norzaini Rose
There are very few cases in the literature on spinal cryptococcomas occurring alone without cerebral involvement at onset. Although cases of cerebral cryptoccomas followed by arachnoiditis have been reported, cases of spinal cryptococcoma followed by cryptococcal meningitis are exceedingly rare. We present a patient with spinal cord cryptococcoma who subsequently developed cryptococcal meningitis in a young immunocompetent patient. Early recognition and aggressive anti-fungal treatment is important.