Share：
Share this content in WeChat
X
[Chinese][PDF]84468
• Clinical Article •
Magnetic resonance imaging findings of cryptococcus meningoencephalitis in AIDS patients
GAN Qing-xin  LIU Jin-xin  ZHANG Lie-guang  HUANG De-yang  DING Yan  LIANG Yi  GUAN Wan-hua  HU Tian-li 

DOI:10.3969/j.issn.1674-8034.2015.07.003.


[Abstract] Objectives: To characterize the cranial magnetic resonance imaging findings of cryptococcus meningoencephalitis in AIDS (Acquired immunodeficiency syndrome) patients.Materials and Methods: The magnetic resonance imaging features of intracranical cryptococcus meningoencephalitis in 14 patients with AIDS were retrospectively analyzed.Results: Intracranial lesions were found in 13 cases of the 14 patients (92.86%) with MRI head scan. Gelatinous pseudocysts and dilated V-R (Virchow-Robin) spaces were seen in 6 cases (42.29%), cephalomeningitis were seen in 4 cases (28.57%), granuloma (crytococcomas) were seen in 3 cases (21.43%), focal encephaledema were seen in 2 cases (14.29%), hydrocephalus were seen in 1 case (7.14%), encephalatrophy were seen in 1 case (7.14%).Conclusions: MRI showed multiplex characteristic of cryptococcus meningoencephalitis in AIDS patients. Meningitis, meningoencephalitis and encephalitis were the principal types of MRI findings, and gelatinous pseudocysts and dilated V-R (Virchow-Robin) spaces may be considered specific for the diagnosis of cryptococcus meningoencephalitis.
[Keywords] Acquired immunodeficiency syndrome；Cyptococcus noformans；Meningoencephalitis；Magnetic resonance imaging

GAN Qing-xin Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

LIU Jin-xin* Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

ZHANG Lie-guang Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

HUANG De-yang Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

DING Yan Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

LIANG Yi Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

GUAN Wan-hua Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

HU Tian-li Department of Radiology, Guanzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510060, China

*Correspondence to: Liu JX, E-mail: Liujx83710385@126.com

Conflicts of interest   None.

Received  2015-04-02
Accepted  2015-06-03
DOI: 10.3969/j.issn.1674-8034.2015.07.003
DOI:10.3969/j.issn.1674-8034.2015.07.003.

[1]
Powderly WG. Cryptococcal meningitis and AIDS. Clin Infect Dis, 1993, 17(5): 837-842.
[2]
Ruzi A, Post MJ, Bundschu CC. Dentate nuclei nvolvement in AIDS patients with CNS cryptococcosis: imaging findings with pathologic correlation. Comput Assist Tomogr, 1997, 21(2): 175-182.
[3]
Corti M, Villafañe MF, Negroni R, et al. Magnetic resonance imaging findings in AIDS patients with central nervous system cryptococcosis. Rev Iberoam Micol, 2008, 25(4): 211-214.
[4]
施裕新，张志勇，万红燕，等．艾滋病合并新型隐球菌脑膜脑炎的影像学表现．放射学实践, 2009, 9(9): 935-937.
[5]
Tien RD, Chu PK, Hessellink JR, et al. Intracranial cryptococcosis in immunocompromised patients: CT and MR findings in 29 cases. Am J Neuroradiol, 1991, 12(2): 283-289.
[6]
Kwee RM, Kwee TC. Virchow-Robin spaces at MR imaging. Radiographics, 2007, 27(4): 1071-1086.
[7]
李建灵，高剑波，张淼．艾滋病合并脑内机遇性感染的MRI表现．磁共振成像, 2010, 1(5): 363-365.
[8]
Kim IY, Jung S, Jung TY, et al. Intracranial tuberculma with adjacent inflammatory aneurysms. J Clin Neurosci, 2008, 63(5): 562-574.
[9]
石明国，付海鸿，戈明媚，等．高清成像精准量化功能测量-磁共振成像技术现状与展望．磁共振成像, 2014, 5(增刊1): 20-25.
[10]
赵斌．磁共振灌注成像临床应用及进展．磁共振成像, 2014, 5(增刊1): 46-50.
[11]
张烈光，刘晋新，江松峰，等．艾滋病合并播散性隐球菌的胸腹部的CT表现．中国CT和MRI杂志, 2013, 11(4): 38-40.

PREV Assessment of diffusion tensor imaging and arterial spin labeling in acute ischemic cerebral apoplexy brain damage
NEXT MRI measurement of fetal cerebellar vermis development
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn