Diffusion-weighted magnetic resonance imaging in rhombencephalitis due to Listeria monocytogenes

H G Hatipoglu1, M Onbasioglu Gurbuz, B Sakman

  • 1Department of Radiology, Ankara Numune Education and Research Hospital, Ankara, Turkey. gulhatip@yahoo.com

Insights

Diffusion-weighted imaging aids in diagnosing rare rhombencephalitis caused by Listeria monocytogenes. This study highlights MRI

Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Rhombencephalitis is a rare, life-threatening brainstem inflammation.
  • Listeria monocytogenes is a bacterial cause of rhombencephalitis.
  • Clinical diagnosis of rhombencephalitis can be challenging.

Observation:

  • A case of rhombencephalitis caused by Listeria monocytogenes was studied.
  • Conventional and diffusion-weighted magnetic resonance imaging (dMRI) were utilized.
  • This is the first reported case including apparent diffusion coefficient (ADC) values.

Findings:

  • Diffusion-weighted imaging revealed characteristic findings of rhombencephalitis.
  • Apparent diffusion coefficient values provided quantitative information about the diseased brain parenchyma.
  • MRI findings were crucial for diagnosis when clinical presentation was ambiguous.

Implications:

  • Diffusion-weighted imaging is a valuable tool for diagnosing rhombencephalitis.
  • ADC values may help characterize the extent and nature of brain parenchyma involvement.
  • Early and accurate diagnosis through advanced imaging can improve patient outcomes.

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