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Structured Imaging Approach for Viral Encephalitis.

Norlisah Mohd Ramli1, Yun Jung Bae2

  • 1Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, Jln Profesor Diraja Ungku Aziz, 50603 Kuala Lumpur, Malaysia.

Neuroimaging Clinics of North America
|November 20, 2022
PubMed
Summary
This summary is machine-generated.

Magnetic resonance (MR) imaging aids in diagnosing viral encephalitis by revealing characteristic patterns. These MR imaging findings help identify specific viral pathogens based on their typical locations in the brain.

Keywords:
Acute encephalitis syndromes (AES)Infectious encephalitisMagnetic resonance imaging (MRI)NeuroimagingViral encephalitis

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Area of Science:

  • Neurology
  • Radiology
  • Infectious Diseases

Background:

  • Viral encephalitis diagnosis relies on clinical, cerebrospinal fluid, and PCR confirmation.
  • Magnetic resonance (MR) imaging plays a crucial role in supporting these diagnostic methods.
  • Identifying specific MR imaging patterns can aid in pathogen identification.

Purpose of the Study:

  • To review representative viral encephalitis cases and their associated MR imaging patterns.
  • To highlight the utility of MR imaging in diagnosing viral encephalitis.
  • To discuss atypical MR imaging presentations of viral encephalitis.

Main Methods:

  • Review of published literature on viral encephalitis and MR imaging findings.
  • Analysis of characteristic MR imaging patterns linked to specific viral pathogens.
  • Inclusion of cases with atypical MR imaging presentations.

Main Results:

  • Specific MR imaging patterns correlate with etiological agents: herpes simplex virus type 1 (temporal lobe), Japanese encephalitis and influenza virus (bilateral thalami), enterovirus and rabies (brainstem).
  • MR imaging is essential for diagnosing viral encephalitis, complementing clinical and laboratory findings.
  • Atypical MR imaging patterns for dengue and varicella-zoster virus encephalitis were also presented.

Conclusions:

  • MR imaging is a vital tool for diagnosing viral encephalitis.
  • Characteristic MR imaging patterns can help identify causative viral pathogens.
  • Awareness of atypical presentations is important for accurate diagnosis.