Department of Radiology, Fortis Memorial Research Institute, Gurugram, Haryana, 122001, India.
Department of Neuroimaging and Interventional Radiology, National Institute for Mental Health and Neurosciences (NIMHANS), Bangalore, India.
Emerg Radiol. 2022 Aug;29(4):791-799. doi: 10.1007/s10140-022-02051-3. Epub 2022 Apr 28.
Infectious diseases affecting the central nervous system remain an important cause of morbidity and mortality in developing countries and in immunocompromised patients. Cerebritis refers to pyogenic inflammation of the brain parenchyma that may lead to abscess formation if left untreated. Cerebritis is an uncommon diagnosis as patients are usually diagnosed at the stage of abscess formation. We present three cases of bacterial cerebritis with different clinical manifestations and varied appearances on MRI. To our knowledge, only few case reports of bacterial cerebritis have been published in the literature, and imaging findings are not fully elucidated. These cases of bacterial cerebritis add valuable information to the existing literature and would be helpful in making the appropriate diagnosis of this uncommon condition that can be medically managed if diagnosed appropriately. We recommend that cerebritis should be considered in the differential diagnosis of such lesions.
中枢神经系统感染仍然是发展中国家和免疫功能低下患者发病率和死亡率的重要原因。脑脊髓炎是指化脓性脑实质炎症，如果不治疗，可能导致脓肿形成。由于患者通常在脓肿形成阶段被诊断出来，因此脑脊髓炎是一种罕见的诊断。我们介绍了三例具有不同临床表现和不同 MRI 表现的细菌性脑脊髓炎病例。据我们所知，文献中仅发表了少数几例细菌性脑脊髓炎的病例报告，影像学表现尚未完全阐明。这些细菌性脑脊髓炎的病例为现有文献提供了有价值的信息，并有助于对这种罕见疾病做出正确诊断，如果及早诊断，这种疾病可以通过药物治疗。我们建议在这些病变的鉴别诊断中应考虑脑脊髓炎。
