Black‐blood magnetic resonance imaging demonstrates varicella zoster vasculitis

2018 ◽  
Vol 48 (11) ◽  
pp. 1408-1410 ◽  
Author(s):  
Michael J. Waters ◽  
Timothy Kleinig
2008 ◽  
Vol 2 (1) ◽  
pp. 109-111 ◽  
Author(s):  
Suguru Shirato ◽  
Toshiyuki Oshitari ◽  
Katsuhiro Hanawa ◽  
Emiko Adachi-Usami

2021 ◽  
Vol 103 (6) ◽  
pp. e181-e183
Author(s):  
R Shah ◽  
N Jayakumar ◽  
S Athar ◽  
N Ashwood

A 63-year-old man presented to the emergency department with low back pain, perineal and genital numbness, together with bilateral lower limb paraesthesia and urinary retention. He was admitted under the orthopaedic service for investigation of suspected cauda equina syndrome. Magnetic resonance imaging of his spine did not reveal any evidence of cauda equina compression. Magnetic resonance imaging of his brain demonstrated nonspecific multiple hyperintensities in the right frontotemporal and left temporo-occipital regions. Computed tomography of his chest, abdomen, and pelvis did not identify any evidence of malignancy. Cerebrospinal fluid from a lumbar puncture showed a high leucocyte count (predominantly lymphocytes). Viral cerebrospinal fluid polymerase chain reaction was positive for varicella zoster virus. A diagnosis of varicella zoster virus myeloradiculitis (Elsberg syndrome) was established and the patient was treated with intravenous aciclovir. Unfortunately, the patient succumbed to a devastating intracerebral haemorrhage during his inpatient stay, probably due to vasculopathy from the underlying varicella zoster virus infection. This case describes a rare infectious mimic of cauda equina syndrome. Elsberg syndrome is an infectious syndrome characterised by bilateral lumbosacral myeloradiculitis, with varicella zoster virus being a well-recognised aetiological agent. We discuss the relevant literature in detail and identify the key, cautionary lessons learned from this case.


2008 ◽  
Vol 28 (5) ◽  
pp. 1092-1100 ◽  
Author(s):  
Thanh D. Nguyen ◽  
Ludovic de Rochefort ◽  
Pascal Spincemaille ◽  
Matthew D. Cham ◽  
Jonathan W. Weinsaft ◽  
...  

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Athanasios K. Petridis ◽  
Marian Suresh ◽  
Jan F. Cornelius ◽  
Angelo Tortora ◽  
Hans Jakob Steiger ◽  
...  

Black blood magnetic resonance imaging (MRI)is a promising imaging tool in predicting aneurysm rupture. Could it be also valuable in evaluating the treatment effect of endovascular and conservative treated aneurysms? Two patients were treated with stent and coil and one with Aspirine (ASS). Correlation of treatment response and contrast enhancement of the aneurysm wall is examined. In the first case stenting failed to treat the aneurysm and contrast enhancement in the wall did never subside during follow up black blood MRI. In the second case the aneurysm responded well to stenting and decreased in size, which was correlating significantly with attenuation of contrast enhancement in black blood MRI. In the third case the aneurysm responded to ASS treatment by decreasing in size as shown in follow up MR-angiography and the contrast enhancement in its wall decreased after 8 months of therapy. Black blood MRI seems to be a promising tool not only in predicting aneurysms at risk of rupture, but also in observing treatment responses after endovascular procedures or even Aspirine administration. When contrast enhancement decreases, aneurysm treatment seems to be successful as can be shown in decreasing size in the follow up angiography.


2016 ◽  
Vol 25 (6) ◽  
pp. e74-e76 ◽  
Author(s):  
Georgios Tsivgoulis ◽  
Stefanos Lachanis ◽  
Georgios Magoufis ◽  
Apostolos Safouris ◽  
Odysseas Kargiotis ◽  
...  

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