Diagnosis of bacterial cerebellitis: diffusion imaging and proton magnetic resonance spectroscopy.
Diffusion-weighted imaging and in vivo proton magnetic resonance spectroscopy ((1)H magnetic resonance spectroscopy) have demonstrated great potential in differentiating intracranial lesions of various pathologies. This report describes a case of a 12-year-old child with cerebellitis and subdural empyema that manifested presence of succinate, acetate, lactate, and amino acids on in vivo (1)H magnetic resonance spectroscopy from a large area of restricted diffusion in the vermis on diffusion-weighted imaging, a finding specific for bacteria-induced infection. The child made a complete clinical and imaging recovery on conservative management.
Jaggi
Ramandeep S
RS
Department of Neurosurgery, King George's Medical University, Lucknow, India.
Husain
Mazhar
M
Chawla
Sanjeev
S
Gupta
Archana
A
Gupta
Rakesh K
RK
D020806:Central Nervous System Bacterial Infections / Q000473:pathology*; D002531:Cerebellum / Q000473:pathology*; D002648:Child; D038524:Diffusion Magnetic Resonance Imaging; D004653:Empyema / Q000473:pathology; D005260:Female; D006801:Humans; D011522:Protons; D013355:Subdural Space / Q000473:pathology
D011522:Protons