Imaging features of rhinocerebral mucormycosis: from onset to vascular complications

Linda Mazzai1, Mariagiulia Anglani2, Chiara Giraudo3

  • 1Neuroradiology UOC, Department of Diagnostics, San Bortolo Vicenza Hospital, Vicenza, Italy.

Insights

Rhinocerebral mucormycosis (RCM) can cause severe brain lesions. This review highlights computed tomography (CT) and magnetic resonance imaging (MRI) signs of RCM, focusing on vascular complications.

Area of Science:

  • Radiology
  • Infectious Diseases
  • Neurology

Background:

  • Rhinocerebral mucormycosis (RCM) is a severe fungal infection.
  • RCM can lead to dangerous intracranial ischemic and hemorrhagic lesions.

Purpose of the Study:

  • To describe computed tomography (CT) and magnetic resonance imaging (MRI) findings in RCM.
  • To focus on RCM's life-threatening vascular complications.

Main Methods:

  • Pictorial review of RCM cases.
  • Analysis of CT and MRI imaging features.
  • Evaluation of advanced CT and MRI techniques for vascular assessment.

Main Results:

  • CT excels in evaluating bone erosion in RCM.
  • MRI is superior for soft tissue, orbital, intracranial, and vascular invasion assessment.
  • Advanced CT/MRI angiography aids in evaluating vascular invasion extent.

Conclusions:

  • CT and MRI are crucial for RCM diagnosis.
  • Imaging plays a key role in assessing RCM's vascular complications and extent.
  • Early detection of vascular invasion is vital for RCM management.