Neuroparacoccidioidomycosis (NPCM): magnetic resonance imaging (MRI) findings
| Autor: | Priscila Pimentel Collier, Simone Appenzeller, Guilherme Pinheiro Lopes, Eduardo Bronzatto, Ricardo Mendes Pereira, Nivaldo Adolfo Silva Junior, Thiago Ferreira de Souza, Fabiano Reis |
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| Rok vydání: | 2012 |
| Předmět: |
Nervous system
Adult Male medicine.medical_specialty Adolescent Veterinary (miscellaneous) Radiography Central nervous system Neuroradiologist Applied Microbiology and Biotechnology Microbiology White matter Diagnosis Differential Young Adult Central Nervous System Fungal Infections medicine Humans Aged medicine.diagnostic_test business.industry Paracoccidioidomycosis Brain Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Female Radiology Differential diagnosis business Agronomy and Crop Science |
| Zdroj: | Mycopathologia. 175(1-2) |
| ISSN: | 1573-0832 |
| Popis: | To describe the magnetic resonance imaging (MRI) patterns of the central nervous system (CNS) involvement by neuroparacoccidioidomycosis (NPCM). Between January 1999 and March 2011, a review of MRI data analysis from 8 cases of NPCM was performed. The following MRI characteristics were examined by an experienced neuroradiologist: topography of lesions, aspects on T1- and T2-weighted images (WI), contrast enhancement, diffusion and spectroscopy. All patients had evidence of paracoccidioidomycosis infection outside the nervous system. Regarding CNS involvement, five patients had only supratentorial lesions; three had infra- and supratentorial ones. Meningeal extension occurred in three patients. The lesions were predominantly hyperintense on T1WI. At T2WI, a hypointense component was present in five cases as well as a perilesional abnormal white matter. A ring-enhancement pattern was seen in five cases. Spectroscopy was performed in three patients and showed an increased lipid peak in all of them. In one case, there was also an increased choline peak. NPCM is rare, and MRI may help its differentiation from other inflammatory lesions. However, the presence of active infection outside CNS and some imaging characteristics should point to this diagnosis. |
| Databáze: | OpenAIRE |
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