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[MRI features of ventricular system tuberculosis]

H X Mao1, H Y Zhu, Y L Wang

  • 1Radiology Department, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China.

Zhonghua Jie He He Hu Xi Za Zhi = Zhonghua Jiehe He Huxi Zazhi = Chinese Journal of Tuberculosis and Respiratory Diseases
|September 8, 2016
PubMed
Abstract

Insights

Diagnosing ventricular system tuberculosis is challenging due to its rarity. Cranial MRI features, including lesion location, enhancement patterns, and complications, offer specific diagnostic clues for this condition.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Tuberculosis can affect the central nervous system, including the ventricular system.
  • Diagnosis of ventricular system tuberculosis is often difficult due to its low incidence.

Purpose of the Study:

  • To investigate the magnetic resonance imaging (MRI) features of tuberculosis affecting the ventricular system.
  • To identify specific MRI characteristics that aid in diagnosing ventricular system tuberculosis.

Main Methods:

  • Retrospective review of 19 patients diagnosed with ventricular system tuberculosis between March 2009 and September 2014.
  • Analysis of clinical data and cranial MRI characteristics of the identified patients.

Main Results:

  • Lesions were observed in the lateral ventricles (n=14) and fourth ventricle (n=5).
  • Common MRI findings included intraventricular tuberculosis, tubercular ependymitis, and complications like tubercular meningitis and hydrocephalus.
  • Enhancement patterns were predominantly heterogeneous (n=15) rather than ring-enhancement (n=4), with peripheral edema noted in 10 cases.

Conclusions:

  • Ventricular system tuberculosis presents with specific MRI features.
  • Lesion site, enhancement patterns, and associated complications on MRI are valuable for diagnosis.
  • Recognizing these MRI characteristics can improve diagnostic accuracy for this rare condition.

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