MRI in tick-borne encephalitis.

Abstract:

:The tick-borne encephalitis (TBE) virus gives rise to epidemic encephalitis. Mild forms usually manifest as influenza-like episodes or are clinically silent. MRI is usually normal in TBE. We describe severe TBE in a patient who presented with fever and altered mental status after a tick bite and a specific antibody response to TBE. MRI revealed pronounced signal abnormalities in the basal ganglia and thalamus, without contrast enhancement. These findings coincide well with neuropathological studies of severe nerve cell degeneration with inflammatory cell infiltrates, neuronophagia and reactive astrocytosis in the deep grey matter. We review the literature and discuss the relevant differential diagnosis.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Alkadhi H,Kollias SS

doi

10.1007/s002340000396

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

753-5

issue

10

eissn

0028-3940

issn

1432-1920

journal_volume

42

pub_type

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