Cat-scratch disease with an extraaxial mass.
CT and MR imaging of the brain and gallium-67 scintigraphy showed an enhancing, gallium-avid mass in the left middle cranial fossa of a 10-year-old girl. Craniotomy revealed an inflammatory mass related to the left trigeminal nerve. The lesion contained rodlike bacteria, and serologic tests were positive for cat-scratch disease. Neurologic involvement in cat-scratch disease is uncommon, and the presence of organisms in neural tissue has not been reported.
Roebuck
D J
DJ
Department of Radiology, Royal Alexandra Hospital for Children, Sydney, Australia.
D018416:Bartonella henselae; D001921:Brain / Q000382:microbiology*; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002648:Child; D003287:Contrast Media; D003389:Cranial Nerve Diseases / Q000000981:diagnostic imaging / Q000382:microbiology*; D005260:Female; D019786:Gadolinium DTPA; D005710:Gallium Radioisotopes; D006801:Humans; D007089:Image Enhancement; D008279:Magnetic Resonance Imaging; D011856:Radiographic Image Enhancement; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed; D014276:Trigeminal Nerve / Q000000981:diagnostic imaging / Q000382:microbiology*
D003287:Contrast Media; D005710:Gallium Radioisotopes; D019275:Radiopharmaceuticals; D019786:Gadolinium DTPA