CMV ventriculitis

Case contributed by A.Prof Frank Gaillard

Presentation

HIV positive adult patient with altered conscious state.

Modality: MRI

Multiple foci of periventricular diffusion restriction.

Case Discussion

MRI in a HIV positive patient with very low CD 4+ count demonstrates numerous periventricular high T2 signal regions which restrict on DWI. Additional high signal on T2 and DWI is seen lining the ependymal surface of the lateral ventricles, which also demonstrates faint enhancement.

Finding are consistent with CMV infection. Positive CMV PCR on CSF and positive culture of CMV from vitreous biopsy.

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Case Information

rID: 5416
Case created: 19th Jan 2009
Last edited: 5th Dec 2015
Inclusion in quiz mode: Included

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