Evaluation of Imaging Methods in Tick-Borne Encephalitis

Zawadzki, Radosław; Garkowski, Adam; Kubas, B.; Zajkowska, Joanna; Hładuński, Marcin; Jurgilewicz, Dorota; Łebkowska, Urszula

doi:10.12659/pjr.903940

Cited by 22 publications

(25 citation statements)

References 32 publications

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“…Pathological findings in endocranial MRI of patients with TBE are found in 15-18%, primarily in the grey mass, extended and spinal cord, pons, cerebellum, basal ganglia and thalamus [7,33,34]. In the present case series, only one patient with severe clinical picture (meningoencephalomyelitis and flaccid paraparesis) had pathological finding of endocranial CT scan (ischemic lesions) while MRI of L-S spine revealed arachnoiditis of the cauda equine.…”

Section: Discussionmentioning

confidence: 45%

Tick-borne encephalitis in Serbia: A case series

Poluga¹,

Barać²,

Katanic³

et al. 2019

J Infect Dev Ctries

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Introduction: In the Europe, the number of tick-borne encephalitis (TBE) has been increased in the last decade, and the number of endemic areas has been also increased and is still growing. In the present case series, we present clinical and socio-epidemiological data of patients with TBE hospitalized in the period of TBE virus epidemic in Serbia. Methodology: A case series was conducted in Serbia in 2017. Patients with confirmed TBE were included in the study. Biochemical and serological analysis of blood and CSF, as well as radiological imaging (CT and MRI) were done. Results: In total, 10 patients with TBE were included in the study. M:F ratio was 1.5:1, while average age was 45.1 years. Half of the patients had severe clinical picture. Endocranial CT scan and MRI did not reveal any abnormality, except in the patient with the most severe CNS infection (meningoencephalomyelitis). Mean value of sedimentation and CRP was slightly elevated (29.6 mm/1hours and 20.1 mg/L, respectively) in 80% of the patients, although elevation was almost negligible. The average number of leucocytes in the cerebrospinal fluid (CSF) was 171×106/L, the mean value of the CSF protein was 1.1g/L. There were no fatal outcomes. Conclusion: Since other CNS infections have similar clinical picture and CSF finding as TBE, serological analysis for TBE should be included in routine diagnostic practice.

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Section: Discussionmentioning

confidence: 45%

Tick-borne encephalitis in Serbia: A case series

Poluga¹,

Barać²,

Katanic³

et al. 2019

J Infect Dev Ctries

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“…CT of the brain is regarded as less sensitive than MRI for the diagnosis of encephalitis, but it is advised in an emergency situation before lumbar puncture when brain oedema is conjectured, or for differential diagnosis [25]. Magnetic resonance imaging showed nonspecific TBE-associated parenchymal lesions in 20-33% of all patients [26]. Typical TBE changes include hypodense regions and has a bizarre predilection for basal ganglia and thalamus localization, the multifocal or diffuse lesions can be distributed unilaterally or bilaterally [26].…”

Section: Annals Of Agricultural and Environmental Medicinementioning

confidence: 99%

Clinical course and neurological sequels after tick-borne encephalitis in children – case report

Pałyga-Bysiecka¹,

Krêcisz²,

Szczepańska³

2021

Ann Agric Environ Med.

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“…In the second phase, TBEV-specific IgG and IgM antibodies can be detected [7]. In confirmed TBE patients, a review of magnetic resonance imaging (MRI) findings indicates involvement of the thalami, basal ganglia, cerebellum, and the anterior horns of the spinal cord [8]. Humoral responses include the release of chemokines, cytokines, T cell (T helper cell type 1 (Th1), Th17), and B cell responses.…”

Section: Tick-borne Encephalitis (Tbe)mentioning

confidence: 99%

Differential Diagnosis of Landau-Kleffner Syndrome Versus Post Encephalitis Syndrome in a 13-year-old Boy With Autism Spectrum Disorder

Murugesan

Jafroodifar

Anilkumar

et al. 2020

Cureus

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Landau-Kleffner syndrome (LKS) is a rare childhood neurological condition that causes developmental regression, loss of language skills and abnormal electroencephalogram (EEG) patterns. Its etiology is unknown. This report describes a case of a 13-year-old boy who at 3.5 years of age was bitten by a tick. Two months thereafter, he began losing previously acquired developmental and language skills, and developed seizures. The seizures subsided with valproic acid treatment, but the developmental delays persisted. Family history and disease progression reports obtained from the patient's father revealed that the patient displayed repetitive behaviors prior to the age of three. Clinical observation also showed the patient having numerous repetitive vocalizations and movements along with difficulty with switching sets. His developmental age at the time of presentation was determined to be 3 to 4 years of age. During the course of diagnostic testing, we were able to rule out tick-borne encephalitis (TBE) and rule in LKS in a premorbidly autistic child. This case describes the similarities between the three conditions and the diagnostic investigations used to arrive at a final diagnosis.

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Evaluation of Imaging Methods in Tick-Borne Encephalitis

Cited by 22 publications

References 32 publications

Tick-borne encephalitis in Serbia: A case series

Tick-borne encephalitis in Serbia: A case series

Clinical course and neurological sequels after tick-borne encephalitis in children – case report

Differential Diagnosis of Landau-Kleffner Syndrome Versus Post Encephalitis Syndrome in a 13-year-old Boy With Autism Spectrum Disorder

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