Magnetic resonance imaging of mesenrhombencephalitis

Wasenko, John J.; Park, Brian; Jubelt, Burk; Lieberman, Kristin A.; Swarnkar, Amar; Joy, Stephen E.; Chang, Ja Kwei

doi:10.1016/s0899-7071(02)00427-8

Cited by 14 publications

(6 citation statements)

References 15 publications

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“…1) have been documented with influenza, adenovirus, and rotavirus encephalitides, but also with Escherichia coli infection, epilepsy, antiepileptic medications, hypoglycemia, osmotic myelinolysis, and other disease processes [6,7]. In a similar fashion, topographic diagnosis of brainstem encephalitis with swelling and signal abnormality on imaging studies may be caused by a number of different infectious agents [8].…”

mentioning

confidence: 99%

Imaging of Topographic Viral CNS Infections

Rumboldt

2008

Neuroimaging Clinics of North America

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confidence: 99%

Imaging of Topographic Viral CNS Infections

Rumboldt

2008

Neuroimaging Clinics of North America

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“…The lesions are distributed diffusely, with discrete predominance in supratentorial compartment, although infratentorial lesions have been observed, especially in the cerebellum (7,11) . MRI is a sensitive method for documenting paracoccidioidomycosis in the CNS, more often with multiple, supratentorial or infratentorial, rounded or lobulated lesions, on T2-weighted sequences (Figure 12).…”

Section: Imaging Findingsmentioning

confidence: 99%

Rhombencephalitis: pictorial essay

et al. 2016

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The term rhombencephalitis refers to inflammatory diseases affecting the hindbrain (brainstem and cerebellum). Rhombencephalitis has a wide variety of etiologies, including infections, autoimmune diseases, and paraneoplastic syndromes. Infection with bacteria of the genus Listeria is the most common cause of rhombencephalitis. Primary rhombencephalitis caused by infection with Listeria spp. occurs in healthy young adults. It usually has a biphasic time course with a flu-like syndrome, followed by brainstem dysfunction; 75% of patients have cerebrospinal fluid pleocytosis, and nearly 100% have an abnormal brain magnetic resonance imaging scan. However, other possible causes of rhombencephalitis must be borne in mind. In addition to the clinical aspects, the patterns seen in magnetic resonance imaging can be helpful in defining the possible cause. Some of the reported causes of rhombencephalitis are potentially severe and life threatening; therefore, an accurate initial diagnostic approach is important to establishing a proper early treatment regimen. This pictorial essay reviews the various causes of rhombencephalitis and the corresponding magnetic resonance imaging findings, by describing illustrative confirmed cases.

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“…25 Patients may present with fever, ataxia, areflexia, and ophthalmoplegia. 26 On MR imaging, the brainstem may be swollen, demonstrating T2 hyperintensity with enhancement. 26 Restricted diffusion and rim enhancement suggest abscess formation (Fig.…”

Section: Infectionmentioning

confidence: 99%