[Early diagnosis of bacterial brain abscesses: interest of diffusion-weighted MRI].
Three cases of bacterial brain abscesses, in immunocompetent patients, are reported. In all these cases, the diffusion-weighted magnetic resonance (MRI) with apparent diffusion coefficient (ADC) map has permitted an early diagnosis and a rapid treatment. This emergency MRI showed in the three cases a low signal on TI-weighted images, a high signal on T2-weighted and echo-planar images, and a decrease of ADC (0.36- 0.49 x 10(-3) mm2/s). So, this new MRI technique provides an available and rapid element in the brain abscess diagnosis which often remains a complex clinical and radiological diagnosis.
Detante
O
O
Service de Neurologie, Hôpital Henri Mondor, Créteil.
von Raison
F
F
Brugières
P
P
Palfi
S
S
Le Guerinel
C
C
Djindjian
M
M
Degos
J-D
JD
D000196:Actinomycosis / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D016866:Bacteroidaceae Infections / Q000175:diagnosis / Q000382:microbiology; D001922:Brain Abscess / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D003287:Contrast Media; D038524:Diffusion Magnetic Resonance Imaging; D017352:Echo-Planar Imaging; D004630:Emergencies; D004829:Epilepsy, Generalized / Q000209:etiology; D005674:Fusobacterium Infections / Q000175:diagnosis / Q000382:microbiology; D016967:Fusobacterium nucleatum / Q000302:isolation & purification; D005682:Gadolinium; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008875:Middle Aged; D020325:Migraine with Aura / Q000150:complications; D010462:Peptostreptococcus / Q000302:isolation & purification; D001443:Prevotella melaninogenica / Q000302:isolation & purification; D012907:Smoking; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology; D034367:Streptococcus intermedius / Q000302:isolation & purification
D003287:Contrast Media; D005682:Gadolinium