CMV ventriculitis and encephalitis

Case contributed by Frank Gaillard , 19 Jan 2009
Diagnosis certain
Changed by Frank Gaillard, 4 May 2018

Updates to Case Attributes

Body was changed:

MRI inThe patient went on to have a HIVvitreous biopsy and lumbar punction. CSF  was positive patient with very low CD 4+ count demonstrates numerous periventricular high T2 signal regions which restrictfor CMV 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.

  • -<p>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. </p><p>Finding are consistent with <a href="/articles/cytomegalovirus-encephalitis" title="Cytomegalovirus (CMV) encephalitis">CMV infection</a>. Positive CMV PCR on CSF and positive culture of CMV from vitreous biopsy. </p>
  • +<p>The patient went on to have a vitreous biopsy and lumbar punction. CSF  was positive for CMV on PCR and positive culture of CMV from vitreous biopsy.</p>
Presentation was changed:
HIV positive adult patient with very low CD 4+ count presents wtih altered conscious state.

Updates to Study Attributes

Findings was changed:

Multiple fociMRI demonstrates numerous periventricular high T2 signal regions which restrict on DWI. The additional high signal on T2 and DWI is seen lining the ependymal surface of periventricular diffusion restrictionthe lateral ventricles, which also demonstrates faint enhancement.

Finding are consistent with CMV infection.

Images Changes:

Image MRI (T1 C+) ( update )

Description was removed:
CMV T1 gad

Image MRI (Gradient Echo) ( update )

Description was removed:
CMV MERGE

Image MRI (DWI) ( update )

Description was removed:
CMV DWI

Image MRI (FLAIR) ( update )

Description was removed:
CMV FLAIR

Image 2 MRI (T2) ( update )

Position was set to .

Image 3 MRI (DWI) ( update )

Position was set to .

Image 4 MRI (T1 C+) ( update )

Position was set to .

Image 5 MRI (Gradient Echo) ( update )

Position was set to .

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.