Wednesday, 23 November 2011

Sequel of CNS Rickettsia MRI Brain

A 14 yo female pt came for follow up imaging.
Here is her MRI Brain T2w image.
MRI Brain shows:
T2 hyperintense lacunes in bilateral thalami.
Rest of the brain parenchyma unremarkable. 

Previous history was significant.
History of hospital admission 5years back, for fever, headache and altered sensorium.

Lab reports mentions 
Weil felix : positive
Anti Ox 19 nil
Anti Ox 2  1:16
Anti Ox k  1:40

Csf pro 48 mg %
Sugar 75mg%
Cells 8 per mm3
Chlorides 119 mcf per L

Imaging wise: Bilateral thalamic chronic lacunes, considering lab reports appears to be the sequel of previous Rikettisial infection and represent vasculitis induced changes and ischemia due to small vessel involvement.

No comments: