Serial magnetic resonance imagings of multiple brain abscesses in a patient with pneumococcal meningoencephalitis.
We report a 43-yr-old man manifesting bacterial meningoencephalitis and multiple abscesses by Streptococcus pneumoniae. Serial magnetic resonance (MR) imagings and MR spectroscopy showed the evolution of multiple brain abscesses over 4 weeks: the enhanced rings became thicker and the dimension of whole lesions larger despite shrinkage of the ring-enhanced regions. These findings may be evidence of active inflammation working to sequestrate the lesion and protect the surrounding normal brain parenchyma from additional damage, even in the final stage of the brain abscess.
Hong
Ji Man
JM
Department of Neurology, School of Medicine, Ajou University, Suwon, Korea. dacda@hanmail.net
Choi
Jun Young
JY
Park
Hee Young
HY
Huh
Kyoon
K
D001922:Brain Abscess / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008590:Meningoencephalitis / Q000175:diagnosis*; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed