Diffusion-Weighted MR Imaging of Intramedullary Spinal Cord Abscess

被引：30

作者：

Doerflinger-Hejlek, E. ^{[2
]}

Kirsch, E. C. ^{[1
]}

Reiter, H. ^{[2
]}

Opravil, M. ^{[2
]}

Kaim, A. H. ^{[1
]}

机构：

[1] Hirslanden Hosp, Dept Radiol, CH-5001 Aarau, Switzerland

[2] Hirslanden Hosp, Dept Internal Med, CH-5001 Aarau, Switzerland

来源：

AMERICAN JOURNAL OF NEURORADIOLOGY | 2010年 / 31卷 / 09期

关键词：

BRAIN-ABSCESS; TUMOR;

D O I：

10.3174/ajnr.A1912

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Early diagnosis and prompt initiation of adequate treatment are essential for clinical outcome in ISCA. We report a case in which DWI provided a more specific diagnosis than conventional MR imaging and allowed differentiation of a ring-enhancing lesion from intramedullary tumor. Diagnosis was proved by PCR from CSF (Streptococcus intermedius). Adequate antibiotic treatment was immediately initiated, and the patient recovered completely.

引用

页码：1651 / 1652

页数：2

共 7 条

[1] Management of intramedullary spinal cord abscess: experience with four cases, pathophysiology and outcomes [J].

Al Barbarawi, Moh'd. ;

Khriesat, Wadah ;

Qudsieh, Suhair ;

Qudsieh, Hanna ;

Loai, Abu Alia .

EUROPEAN SPINE JOURNAL, 2009, 18 (05) :710-717

[2] Intramedullary abscess of the spinal cord in the antibiotic era: Clinical features, microbial etiologies, trends in pathogenesis, and outcomes [J].

Chan, CT ;

Gold, WL .

CLINICAL INFECTIOUS DISEASES, 1998, 27 (03) :619-626

[3] Cerebral abscesses: investigation using apparent diffusion coefficient maps [J].

Guo, AC ;

Provenzale, JM ;

Cruz, LCH ;

Petrella, JR .

NEURORADIOLOGY, 2001, 43 (05) :370-374

[4]

Hart J., 1830, DUBLIN HOSP REP, V5, P522

[5] Brain abscess and necrotic or cystic brain tumor: Discrimination with signal intensity on diffusion-weighted MR imaging [J].

Kim, YJ ;

Chang, KH ;

Song, IC ;

Kim, HD ;

Seong, SO ;

Kim, YH ;

Han, MH .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 171 (06) :1487-1490

[6] Role of diffusion-weighted echo-planar MRI in distinguishing between brain abscess and tumour: a preliminary report [J].

Noguchi, K ;

Watanabe, N ;

Nagayoshi, T ;

Kanazawa, T ;

Toyoshima, S ;

Shimizu, M ;

Seto, H .

NEURORADIOLOGY, 1999, 41 (03) :171-174

[7] Streptococcus intermedius causing infective endocarditis and abscesses: a report of three cases and review of the literature [J].

Tran, MaryAnn P. ;

Caldwell-McMillan, Molly ;

Khalife, Walid ;

Young, Vincent B. .

BMC INFECTIOUS DISEASES, 2008, 8 (1)

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