MRI diagnosis of bacterial meningitis.doc

 PAGE \* MERGEFORMAT 12 MRI diagnosis of bacterial meningitis Study: Late Humao Qing LUO Mao Long Yang Kim Ji-fat Herzog [Abstract] MRI for the diagnosis of bacterial meningitis. Methods 40 cases of confirmed bacterial meningitis in patients with MRI scan, the enhanced image data were analyzed to summarize the imaging characteristics. MR scan shows partial results meningeal thickening in 10 cases, sulci fuzzy in 37 cases, 25 cases of abnormal signal in the brain parenchyma. enhanced meningeal enhancement pattern is divided into three types: pia mater - Subarachnoid strengthen the 30 cases, the performance of the brain surface and brain-shaped trench thin or banded enhancement. subdural - subarachnoid enhancement in 3 cases, the performance of meningeal thick, continuous arc-shaped high signal, the brain does not reach into the trench. All 7 cases of meningeal enhancement. complications include epidural abscess 2 cases, 4 cases of hydrocephalus, intraventricular hemorrhage in 2 cases, 2 cases of meningitis control room. Conclusion MRI enhancement of bacterial meningitis in the performance of a certain characteristic, the correct diagnosis depends on clinical data and imaging signs of a comprehensive analysis. [Keywords:] bacterial meningitis; meningitis; [Abstract] Objective To evaluate the value of MRI in the diagnosis of bacterial meningitis. Methods The clinical and MRI data of 40 patients with meningitis confirmed clinically were retrospectively analyzed. Results Local meninges thicken (n = 10), cortial sulci obliteration (n = 37) and adjacent parenchyma signal abnormal (n = 25) apperared on plain MR. After administration of Gd-DTPA, Three patterns of meningeal enhancement were seen: ⑴ Pia-subarachnoid space enhancement 30 cases, presented diffused fine lineal high signal intensity on the surface of brain that could descend into the cortical sulci. ⑵ Dura-arachnoid enhancement 3 cases, presented continuous, thick and curvilineal high signal inten