Cryptococcosis MRI: Difference between revisions

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*Contrast-enhanced [[MRI]] of the brain and [[spinal cord]] may help in ruling out other medical conditions that might have a similar presentation to cryptococcal meningitis.
*Contrast-enhanced [[MRI]] of the brain and [[spinal cord]] may help in ruling out other medical conditions that might have a similar presentation to cryptococcal meningitis.
*[[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>
*[[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>
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>
*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>
*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.
**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.
*Hydrocephalus
**Hydrocephalus
*Intracerebral nodules  
**Intracerebral nodules  
*Pseudocysts
**Pseudocysts


==References==
==References==

Revision as of 16:37, 6 June 2017

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Overview

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

MRI

  • Contrast-enhanced MRI of the brain and spinal cord may help in ruling out other medical conditions that might have a similar presentation to cryptococcal meningitis.
  • MRI can detect meningeal enhancement, tumors and para-meningeal infections (brain abscess).[1]
  • The common MRI findings in patients with cryptococcal meningitis include:[2]
    • 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.
    • Hydrocephalus
    • Intracerebral nodules
    • Pseudocysts

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.