Department of Neurology, Faculty of Medicine, Baskent University, Ankara, Turkey.
Department of Anesthesiology and Reanimation, Faculty of Medicine, Baskent University, Ankara, Turkey.
Neurol India. 2023 Nov-Dec;71(6):1263-1265. doi: 10.4103/0028-3886.391395.
Rhombencephalitis refers to the inflammation of rhombencephalon, and Listeria monocytogenes is one of the causes of infectious rhombencephalitis. Listeria rhombencephalitis is a rare and severe infection with high mortality and morbidity. As the disease can present with a variety of neurological symptoms and nonspecific laboratory tests, it can easily be misdiagnosed. Sudden onset of neurological signs without fever can resemble stroke. Magnetic resonance imaging can be useful in patients for confirmation of the diagnosis and during the follow-up. Early diagnosis and treatment are especially important for improvement of the outcomes. Here we report a case with stroke-like presentation that was diagnosed as Listeria rhombencephalitis in follow-up and present the serial brain magnetic resonance imaging features.
脑桥炎是指脑桥的炎症，单核细胞增生李斯特菌是感染性脑桥炎的原因之一。李斯特菌脑桥炎是一种罕见且严重的感染，死亡率和发病率都很高。由于该病可表现出多种神经症状和非特异性实验室检查，因此容易误诊。无发热的突发性神经体征类似于中风。磁共振成像对患者的确诊和随访均有帮助。早期诊断和治疗对于改善预后尤为重要。我们在此报告一例以类似中风表现起病的病例，在随访中诊断为李斯特菌脑桥炎，并呈现出系列脑磁共振成像特征。
