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Case No. 514
2019-04-01~2019-04-30
출제자 : 정미선
Hit : 621
| Period | 2019-04-01~2019-04-30 |
|---|---|
| Diagnosis | Brainstem Abscess |
| Gender |
|
| Age | 44 |
| Clinical information | 44세 남자 갑자기 시작된 dysarthria, right arm weakness로 내원했다. 진단은? |
| Discussion | Brainstem Abscess 1. Introduction - Incidence : about 0.5–6% of brain abscesses, m/c in pons - Symptom: headache, fever, diplopia, unilateral face or extremity numbness/weakness or ataxia - Lab findings: Serum inflammatory markers and CSF are frequently within normal range - Prognosis : high mortality rate 2. Image findings - Typical appearance of a brain abscess on a conventional MRI - Central T1 hypointensity/T2 hyperintensity with diffusion restriction - Rim enhancement with peripheral edema - Dual rim sign on SWI : a hyperintense line located inside the low intensity rim - DWI might be helpful to DDx from necrotic or hemorrhagic tumors |
| Correct answer |
Correct AnswerSemi-Correct Answer |