Diffusion-weighted MR imaging of intramedullary spinal cord abscess.
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.
Dörflinger-Hejlek
E
E
Department of Internal Medicine, Hirslanden Hospital, Aarau, Switzerland.
Kirsch
E C
EC
Reiter
H
H
Opravil
M
M
Kaim
A H
AH
D000369:Aged, 80 and over; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods*; D020802:Epidural Abscess / Q000473:pathology*; D005260:Female; D006801:Humans; D013116:Spinal Cord / Q000473:pathology*