Diagnosis of bacterial cerebellitis: diffusion imaging and proton magnetic resonance spectroscopy.

Abstract

Diffusion-weighted imaging and in vivo proton magnetic resonance spectroscopy ((1)H magnetic resonance spectroscopy) have demonstrated great potential in differentiating intracranial lesions of various pathologies. This report describes a case of a 12-year-old child with cerebellitis and subdural empyema that manifested presence of succinate, acetate, lactate, and amino acids on in vivo (1)H magnetic resonance spectroscopy from a large area of restricted diffusion in the vermis on diffusion-weighted imaging, a finding specific for bacteria-induced infection. The child made a complete clinical and imaging recovery on conservative management.

• Authors: Ramandeep S Jaggi, Mazhar Husain, Sanjeev Chawla, Archana Gupta, Rakesh K Gupta
• Journal: Pediatric neurology (Pediatr Neurol) Vol. 32 Issue 1 Pg. 72-4 (Jan 2005) ISSN: 0887-8994 [Print] United States
• PMID: 15607611 (Publication Type: Case Reports, Journal Article)

Chemical References

• Protons

Topics

• Central Nervous System Bacterial Infections (pathology)
• Cerebellum (pathology)
• Child
• Diffusion Magnetic Resonance Imaging
• Empyema (pathology)
• Female
• Humans
• Protons
• Subdural Space (pathology)