Brain abscess

Case contributed by Dr Andrés Bernales

Presentation

Two weeks of headache, low grade fever and Wernicke aphasia. Previews history: recurrent ear infections. WBC within normal limits and negative HIV test.

Patient Data

Age: 32 year old
Gender: Female
CT

Brain Abscess

Round intra-axial lesion with vasogenic edema. Post contrast shows a thin and smooth wall. Coronal and sagital reformats shows no mural nodule.

MRI

Round intra-axial lesion  with vasogenic edema that have a hyper intense thin-wall in T1 and hypo intense wall at T2. Post gadolinium shows rim-enhancement. 

Case Discussion

The CT and MRI findings are compatible with pyogenic brain abscess in late capsular stage.

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Case information

rID: 28099
Case created: 10th Mar 2014
Last edited: 8th Sep 2015
Inclusion in quiz mode: Included

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