American Hospital of Paris, 63, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France.
Diagn Interv Imaging. 2012 Jun;93(6):473-90. doi: 10.1016/j.diii.2012.04.020. Epub 2012 Jun 5.
Brain infections are relatively rare, but they are potentially serious and have a poor prognosis. The cornerstone of the diagnosis is cerebrospinal fluid (CSF) analysis. Imaging is not systematic, but the indications of imaging are broad, particularly when faced with suspected focal damage, depending on the characteristics of the patient (child, immunosuppressed patient, geographic origin, etc.). It is based on MRI, which allows for aetiological diagnosis and an extension evaluation. In addition, in a certain number of cases, the type of infection is not known and it is up to the MRI via use of an exhaustive technique to diagnose an infectious origin when faced with a mass syndrome. This technical mastery, associated with knowledge of major brain infections, their method of contamination and their particular appearance on the MRI, should make it possible for the radiologist to fulfill his or her diagnostic role.
脑部感染相对较少见,但可能很严重,预后较差。诊断的基石是脑脊液(CSF)分析。影像学检查并非系统进行,但影像学检查的适应证广泛,特别是在怀疑局灶性损伤时,具体取决于患者的特征(儿童、免疫抑制患者、地理来源等)。影像学检查以 MRI 为基础,可进行病因诊断和扩展评估。此外,在某些情况下,感染的类型未知,在面对肿块综合征时,MRI 可以通过使用详尽的技术来诊断感染性病因。这种技术掌握,结合对主要脑部感染、其传播途径和 MRI 上特殊表现的了解,应使放射科医生能够发挥其诊断作用。