Cryptococcosis MRI: Difference between revisions

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{{Cryptococcosis}}
{{Cryptococcosis}}
{{CMG}}; {{AE}} {{AKI}}
==Overview==
==Overview==
Common MRI findings in patients with cryptococcal meningitis include: Virchow-Robin dilatation, hydrocephalus, intracerebral nodules and pseudocysts.
Common [[MRI]] findings in patients with [[Cryptococcal Meningitis|cryptococcal meningitis]] include [[Virchow-Robin spaces|Virchow-Robin]] [[dilatation]], [[hydrocephalus]], intracerebral [[Nodule (medicine)|nodules]], and [[Pseudocyst|pseudocysts]].


==MRI==
==MRI==
The common MRI findings in patients with cryptococcal meningitis include:<ref name="pmid28247152">{{cite journal| author=Zhong Y, Zhou Z, Fang X, Peng F, Zhang W| title=Magnetic resonance imaging study of cryptococcal neuroradiological lesions in HIV-negative cryptococcal meningitis. | journal=Eur J Clin Microbiol Infect Dis | year= 2017 | volume=  | issue=  | pages=  | pmid=28247152 | doi=10.1007/s10096-017-2941-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28247152  }} </ref>
*Contrast-enhanced [[MRI]] of the [[brain]] and [[spinal cord]] may help to rule out other medical conditions that might have a similar presentation to [[Cryptococcal Meningitis|cryptococcal meningitis]].
*Virchow-Robin dilatation : Virchow Robin spaces are CSF spaces that accompany blood vessels as they perforate the brain substance, dilation of these spaces suggest microangiopathy.
*[[MRI]] can detect [[meningeal]] enhancement, [[tumors]], and para-meningeal infections ([[brain abscess]]).<ref name=":0">Koroshetz WJ. Chapter 382. Chronic and Recurrent Meningitis. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J,  eds. Harrison's Principles of Internal Medicine. 18th ed. New York: McGraw-Hill; 2012.</ref>
*Hydrocephalus
*The common [[MRI]] findings in patients with [[Cryptococcal Meningitis|cryptococcal meningitis]] include:<ref name="pmid28247152">{{cite journal| author=Zhong Y, Zhou Z, Fang X, Peng F, Zhang W| title=Magnetic resonance imaging study of cryptococcal neuroradiological lesions in HIV-negative cryptococcal meningitis. | journal=Eur J Clin Microbiol Infect Dis | year= 2017 | volume=  | issue=  | pages=  | pmid=28247152 | doi=10.1007/s10096-017-2941-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28247152  }} </ref>
*Intracerebral nodules  
**[[Virchow-Robin spaces|Virchow-Robin]] [[dilatation]]: [[Virchow-Robin spaces]] are [[CSF]] spaces that accompany [[blood vessels]] as they perforate the brain substance; [[dilation]] of these spaces suggest [[microangiopathy]].
*Pseudocysts
**[[Hydrocephalus]]
**Intracerebral [[nodule|nodules]]
**[[Pseudocyst|Pseudocysts]]
[[Image:Mri crypto gif.gif|400px|left|frame|Dilated Virchow-Robin space, source: radiopedia.org]]
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==References==
==References==
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Latest revision as of 21:10, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]

Overview

Common MRI findings in patients with cryptococcal meningitis include Virchow-Robin dilatation, hydrocephalus, intracerebral nodules, and pseudocysts.

MRI

Dilated Virchow-Robin space, source: radiopedia.org


References

  1. Koroshetz WJ. Chapter 382. Chronic and Recurrent Meningitis. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison's Principles of Internal Medicine. 18th ed. New York: McGraw-Hill; 2012.
  2. Zhong Y, Zhou Z, Fang X, Peng F, Zhang W (2017). "Magnetic resonance imaging study of cryptococcal neuroradiological lesions in HIV-negative cryptococcal meningitis". Eur J Clin Microbiol Infect Dis. doi:10.1007/s10096-017-2941-8. PMID 28247152.