波瓦桑病毒性脑炎的MR成像模式与预后。

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY Neurologist Pub Date : 2024-03-01 DOI:10.1097/NRL.0000000000000533

Pasquale F Finelli

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引用次数: 0

摘要

背景：Powassan病毒（POWV）脑炎是一种虫媒病毒感染，是北美大陆唯一的蜱传脑炎血清群。POWV脑炎的磁共振（MR）成像是多种多样的、非特异性的，并且数量有限，因此，这种虫媒病毒感染的成像模式和结果没有得到很好的认识。方法：对POWV脑炎的MR影像学表现及其和预后的相关性进行病例报告和文献复习。结果：在50%的POWV脑炎病例中发现了小脑显性MR成像模式，并与60%的病死率相关。磁共振成像显示小脑受累的POWV脑炎对静脉注射类固醇有反应。结论：POWV脑炎的小脑显性MR模式很常见，预后较差，识别可能会将治疗从支持性转变为挽救生命。

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MR Imaging Patterns and Prognosis in Powassan Virus Encephalitis.

Background: Powassan virus (POWV) encephalitis is an arbovirus infection and the only tick-borne encephalitis serogroup which is present in mainland North America. The magnetic resonance (MR) imaging described with POWV encephalitis is varied, nonspecific, and limited in number, and as such, imaging patterns and outcomes with this arbovirus infection are not well appreciated.

Methods: A case report and literature review of the MR imaging associated with POWV encephalitis and correlate of the MR pattern with outcome is considered.

Results: The cerebellar dominant MR imaging pattern was identified in 50% of POWV encephalitis cases and was associated with a 60% fatality rate. POWV encephalitis with prominent cerebellar involvement on MR imaging responded to intravenous steroid.

Conclusions: A cerebellar dominant MR pattern in POWV encephalitis was common, associated with a poor prognosis, and recognition could change management from supportive to life-saving.

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来源期刊

Neurologist 医学-临床神经学

CiteScore

1.90

自引率

0.00%

发文量

151

审稿时长

2 months

期刊介绍： The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.