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Rev Neurol (Paris). 2003 Apr;159(4):421-4.

[Early diagnosis of bacterial brain abscesses: interest of diffusion-weighted MRI].

Revue neurologique

[Article in French]
O Detante, F von Raison, P Brugières, S Palfi, C Le Guerinel, M Djindjian, J-D Degos

Affiliations

  1. Service de Neurologie, Hôpital Henri Mondor, Créteil.

PMID: 12773871

Abstract

Three cases of bacterial brain abscesses, in immunocompetent patients, are reported. In all these cases, the diffusion-weighted magnetic resonance (MRI) with apparent diffusion coefficient (ADC) map has permitted an early diagnosis and a rapid treatment. This emergency MRI showed in the three cases a low signal on TI-weighted images, a high signal on T2-weighted and echo-planar images, and a decrease of ADC (0.36- 0.49 x 10(-3) mm2/s). So, this new MRI technique provides an available and rapid element in the brain abscess diagnosis which often remains a complex clinical and radiological diagnosis.

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