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Imaging of cerebrovascular complications of infection

Guiquan Shen1, Xudong Shen2, Wei Pu3

  • 1Department of Radiology, The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China.

Quantitative Imaging in Medicine and Surgery
|January 2, 2019
PubMed

Insights

Infectious diseases can cause serious cerebrovascular complications like vasculitis and aneurysms. Early imaging and treatment are crucial for better outcomes and preventing neurological deficits.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Infectious diseases can lead to severe cerebrovascular complications, including vasculitis, mycotic aneurysms, and thrombophlebitis.
  • These complications, often associated with poor prognosis and irreversible neurological deficits, are challenging to distinguish from non-infectious vascular diseases due to non-specific clinical presentations.

Purpose of the Study:

  • To review imaging analysis of cerebrovascular complications arising from infections.
  • To identify imaging features that aid in differentiating infectious from non-infectious vascular diseases.

Main Methods:

  • Review of literature focusing on imaging findings in cerebrovascular complications of infections.
  • Analysis of imaging characteristics to distinguish infectious vasculitis, mycotic aneurysms, and thrombophlebitis from other cerebrovascular events.

Main Results:

  • Cerebrovascular complications of infections manifest as vasculitis, mycotic aneurysms, and thrombophlebitis, potentially causing hemorrhage, infarction, or ischemia.
  • Distinguishing these infectious causes from non-infectious vasculitis and cerebral infarcts is difficult due to overlapping clinical and imaging features.

Conclusions:

  • Early diagnosis and intervention, including imaging, antibiotics, and anticoagulation, are vital for managing cerebrovascular complications of infections.
  • Differentiating infectious from non-infectious cerebrovascular diseases through advanced imaging analysis is critical for appropriate patient management and improved outcomes.

Keywords:
Central nervous system (CNS)imaginginfectionvasculitis

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