MRI in tick-borne encephalitis

被引:40
作者
Alkadhi, H [1 ]
Kollias, SS [1 ]
机构
[1] Univ Zurich Hosp, Inst Neuroradiol, CH-8091 Zurich, Switzerland
关键词
encephalitis; tick-borne; magnetic resonance imaging; basal ganglia; thalamus;
D O I
10.1007/s002340000396
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The tick-borne encephalitis (TBE) virus gives rise to epidemic encephalitis. Mild forms usually manifest as influenza-like episodes or are clinically silent. MRI is usually normal in TEE. We describe severe TEE in a patient who presented with fever and altered mental status after a tick bite and a specific antibody response to TEE. MRI revealed pronounced signal abnormalities in the basal ganglia and thalamus, without contrast enhancement. These findings coincide well with neuropathological studies of severe nerve cell degeneration with inflammatory cell infiltrates, neuronophagia and reactive astrocytosis in the deep grey matter. We review the literature and discuss the relevant differential diagnosis.
引用
收藏
页码:753 / 755
页数:3
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