Department of Neuroimaging and Interventional Radiology, Faculty Block, 3rd Floor, National institute of Mental health and Neurosciences, Hosur Road, Near Bangalore Milk Dairy, Bangalore, Karnataka 560029, India.
Department of Radiology, King Edward Memorial Hospital, Parel, Mumbai 400012, India.
Neuroimaging Clin N Am. 2023 Feb;33(1):83-103. doi: 10.1016/j.nic.2022.07.005.
This article reviews uncommon bacterial (brucellosis, actinomycosis, neuromelioidosis, nocardiosis, whipple disease, and listeriosis), Rickettsia, spirochete (neurosyphilis and Lyme disease), and fungal (mucormycosis, aspergillosis, candidiasis, cryptococcosis, and Cladophialophora bantiana) diseases affecting central nervous system (CNS), focusing primarily on their cranial manifestations. These infections often show a variety of neuroimaging features that may be similar or differ from typical pyogenic bacterial meningitis and abscess. Familiarity with these patterns is essential for timely recognition and initiation of appropriate management. Neuroimaging is also useful for identifying complications of CNS infections and follow-up evaluation after initiation of treatment.
本文回顾了影响中枢神经系统（CNS）的罕见细菌（布鲁氏菌病、放线菌病、类鼻疽、奴卡菌病、惠普尔病和李斯特菌病）、立克次体（神经梅毒和莱姆病）和螺旋体（神经梅毒和莱姆病）以及真菌（毛霉病、曲霉病、念珠菌病、隐球菌病和棒状枝孢菌）疾病，主要关注其颅面表现。这些感染通常表现出多种神经影像学特征，这些特征可能与典型化脓性细菌性脑膜炎和脓肿相似或不同。熟悉这些模式对于及时识别和开始适当的治疗至关重要。神经影像学在识别 CNS 感染的并发症和治疗开始后的随访评估方面也很有用。
