Brain abscess

Case contributed by Dr Libya Saleh

Diagnosis almost certain

Diagnosis almost certain

Citation, DOI, disclosures and case data

Citation:

Saleh D, Brain abscess. Case study, Radiopaedia.org (Accessed on 27 Sep 2023) https://doi.org/10.53347/rID-147363

DOI:

https://doi.org/10.53347/rID-147363

Permalink:

https://radiopaedia.org/cases/147363

rID:

147363

Disclosures:

At the time the case was submitted for publication Dr Libya Saleh had no recorded disclosures.

View Dr Libya Saleh's current disclosures

Case published:

15 Jun 2022

Revisions:

7 times, by 2 contributors - see full revision history and disclosures

Systems:

Central Nervous System

Quiz mode:

Included

Presentation

Seizures and DCL.

Patient Data

Age: 2 years

Gender: Female

From the case: Brain abscess

mri

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Left parieto-occipital and left insular intra-axial multiple confluent variable sized ring-enhancing lesions, eliciting low signal in T1 and high in T2/FLAIR with restricted diffusion. Vasogenic edema is also seen exerting mass effect in the form of effacement of the adjacent cortical sulci and compression of the ipsilateral lateral ventricle with no midline shift. picture of an inflammatory process (abscesses).

Additionally the confluence of dural venous sinuses, left transverse and sigmoid sinuses, as well as the proximal left internal jugular vein, are seen distended with loss of signal void pattern and negative enhancement in the post contrast T1, a picture of dural venous sinus thrombosis.

Bilateral otomastoiditis are also noted more on the left side.

Case Discussion

Brain abscess is an inflammatory process in the form of focal areas of necrosis

the best imaging modality in case of brain abscess is MRI with contrast and DWI as the lesion shows the following signal,

T1: low Signal intensity

T2/FLAIR: high Signal intensity

T1+c ring enhancement with central restricted diffusion

7 public playlists include this case

neurology by Iroshani Kodikara
NRAD by Thilo Gerhards
FMH2 - Neuro by Guillaume Fahrni
cns by Soumya Hareendranath
miscellaneous by Rudy Deeb
Cystic lesions of the brain by Mohamed shweel ◉
Neuro Talk by MARK FRUIN

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