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Updated: Aug 11, 2026

State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
Imaging of cranial meningitis and ventriculitis
U S Kanamalla1, R A Ibarra, J R Jinkins
1Clinical Fellow, Neuroradiology Section, University of Texas Health Science Center, San Antonio, USA.
Abstract:
A spectrum of infectious diseases may affect the cranial meninges. Contrast-enhanced MR imaging and fluid-attenuated inversion-recovery MR techniques are superior to contrast-enhanced computed tomography for detecting and characterizing most pathologic meningeal conditions. In patients with meningitis, a major role of medical imaging is to identify potential complications such as hydrocephalus, extra-axial mass-forming infectious collections, parenchymal infarcts related to arteritis, ventriculitis, and associated underlying parenchymal abscesses or granuloma formations. Early diagnosis of such complications may reduce the rate of morbidity and mortality in this group of patients.
Insights
Magnetic resonance imaging (MRI) is superior to CT scans for diagnosing infectious diseases of the cranial meninges. Early detection of complications like hydrocephalus and abscesses through advanced MRI techniques can improve patient outcomes.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Infectious diseases can affect the cranial meninges.
- Accurate diagnosis is crucial for managing these conditions.
Purpose of the Study:
- To compare the efficacy of different imaging modalities for meningeal infections.
- To highlight the role of imaging in identifying complications of meningitis.
Main Methods:
- Review of contrast-enhanced magnetic resonance (MR) imaging.
- Evaluation of fluid-attenuated inversion-recovery (FLAIR) MR techniques.
- Comparison with contrast-enhanced computed tomography (CT).
Main Results:
- Contrast-enhanced MR imaging and FLAIR MR techniques demonstrate superiority over contrast-enhanced CT.
- These MR techniques are more effective for detecting and characterizing pathological meningeal conditions.
- Imaging plays a key role in identifying complications such as hydrocephalus, ventriculitis, and abscesses.
Conclusions:
- Advanced MR imaging techniques are essential for the diagnosis and management of cranial meningeal infections.
- Early identification of complications via imaging can significantly reduce morbidity and mortality.
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