Ring-enhancing lesions in neonatal meningitis: an analysis of neuroradiology pitfalls through exemplificative cases and a review of the literature

Ganau, Mario; Mankad, Kshitij; Srirambhatla, Uma Rami; Tahir, Zubair; D’Arco, Felice

doi:10.21037/qims.2018.01.04

Cited by 6 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Low signal intensity was noted in the above areas on T1,T2 and T2 ∗ -weighted images [28]. The use of MRI is specifically important in TB of the central nervous system especially in neonates where it can present as ring-enhancing space-occupying lesions which are commonly shared with other bacterial infections or intracerebral hematomas [29].…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis Presenting as Isolated Wrist Swelling: A Case Report and Review of Literature

Basnayake

Nihaj

Pitagampalage

et al. 2019

Case Reports in Surgery

View full text Add to dashboard Cite

Background Tuberculosis is a common disease entity in South East Asian countries with a significant global burden. An extra skeletal manifestation such as monoarticular TB is common, but isolated involvement of the wrist is rare. Case Summary A 53-year-old Sri Lankan male with long-standing diabetes presented with an isolated hand swelling for a 7-month duration. His initial imaging and MRI showed multiple destructive lesions in the carpal bones, surrounding focal fluid collections and found to have caseous material intraoperatively. His histology and microbiological studies were positive for TB with no other concurrent evidence of TB elsewhere. Conclusion Different presentations of tuberculosis should be considered when patients are presenting with atypical clinical and initial basic investigation findings in relation to monoarticular pathologies.

show abstract

Section: Discussionmentioning

confidence: 99%

Tuberculosis Presenting as Isolated Wrist Swelling: A Case Report and Review of Literature

Basnayake

Nihaj

Pitagampalage

et al. 2019

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

“…Although we present a case of a 78-year-old patient, aspects of prognosis and morbidity may differ between populations of patients [5, 20]. The literature suggests a tendency to affect “frail subjects, with peaks in the elderly and pediatric populations [5, 24, 25]”; hence, a high index of suspicion should be considered for those at high risk. A systematic review of the literature on patients undergoing surgery for degenerative cervical myelopathy suggests that though duration and severity of symptoms related to neurological procedures are more closely associated with surgical outcomes, elderly patients and positive smoking status may have predictive value for comorbidities following surgery [7].…”

Section: Discussionmentioning

confidence: 99%

HSV-Encephalitis Reactivation after Cervical Spine Surgery

Heller

Stricsek

Thaete

2019

Case Reports in Surgery

View full text Add to dashboard Cite

Background. Herpes simplex virus encephalitis (HSVE) is a viral neurological disorder that occurs when the herpes simplex virus (HSV) enters the brain. The disorder is characterized by the inflammation of the brain and a significant decline in mental status. HSVE reactivation after neurosurgery, although rare, can cause severe neurological deterioration. The high morbidity rate among untreated patients necessitates prompt diagnosis and management. Case Description. We report a case of a 78-year-old woman with no known prior history of HSVE and declining mental status eleven days after a posterior C3-T1 decompression and instrumented fusion following resection of an intradural extramedullary tumor, confirmed to be meningioma on final pathology. Reactivation of HSV-1 encephalitis was suspected to be the underlying cause of her symptoms, though MRI scans of the brain for HSVE were negative. The patient reacted positively to a 21-day treatment of acyclovir and was discharged with a neurological status comparable to her preoperative baseline. This case contributes to the literature in that it is the first reported instance of HSVE reactivation after intradural cervical spinal surgery with negative MRI findings. Conclusion. We recommend utilizing multiple tests, including PCR, EEG, and MRI, for postoperative neurosurgery patients that have decreased mental status in order to quickly and correctly diagnose/treat patients who are HSVE positive. Clinicians should consider the possibility of receiving false-negative results from PCR, CSF, EEG, or MRI tests before terminating treatment for HSVE reactivation.

show abstract

“…Neuroimaging of a brain abscess relies on the stage of the abscess at imaging and the etiology of the abscess. Brain abscess presents as clear ring-enhancing lesions (Figure 4B) (118,128,129) in DWI and perfusion imaging, which is clearly different from necrotic tumors.…”

Section: Brain Abscessmentioning

confidence: 99%

Advances in differential diagnosis of cerebrovascular diseases in magnetic resonance imaging: a narrative review

Li¹,

Su²,

Yuan³

et al. 2023

Quant Imaging Med Surg

View full text Add to dashboard Cite

Background and Objective: Cerebrovascular diseases (CVDs), particularly cerebral stroke, remain a primary cause of disability and death worldwide. Accurate diagnosis of CVDs is essential to guide therapeutic decisions and foresee the prognosis. Different CVDs have different pathological processes while they have many signs in common with some other brain diseases. Thus, differential diagnoses of strokes from other primary and secondary CVDs are especially important and challenging.Methods: This review is composed mainly based on searching PubMed articles

show abstract

Ring-enhancing lesions in neonatal meningitis: an analysis of neuroradiology pitfalls through exemplificative cases and a review of the literature

Cited by 6 publications

References 25 publications

Tuberculosis Presenting as Isolated Wrist Swelling: A Case Report and Review of Literature

Tuberculosis Presenting as Isolated Wrist Swelling: A Case Report and Review of Literature

HSV-Encephalitis Reactivation after Cervical Spine Surgery

Advances in differential diagnosis of cerebrovascular diseases in magnetic resonance imaging: a narrative review

Contact Info

Product

Resources

About