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...

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Veröffentlicht in:	American journal of neuroradiology : AJNR 2010-10, Vol.31 (9), p.1651-1652
Hauptverfasser:	DÖRFLINGER-HEJLEK, E, KIRSCH, E. C, REITER, H, OPRAVIL, M, KAIM, A. H
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over Biological and medical sciences Diffusion Magnetic Resonance Imaging - methods Epidural Abscess - pathology Female Fundamental and applied biological sciences. Psychology Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Nervous system Perception Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Radiodiagnosis. Nmr imagery. Nmr spectrometry Spinal Cord - pathology Spine Streptococcus intermedius Vision
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Zusammenfassung:	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.
ISSN:	0195-6108 1936-959X
DOI:	10.3174/ajnr.A1912