Intracranial vessel wall magnetic resonance imaging features of infectious vasculitis

Corrêa, Diogo Goulart; Pacheco, Felipe Torres; Cruz, Luiz Celso Hygino da; Nunes, Renato Hoffmann; Maia, Antônio Carlos Martins; Godoy, Luís Filipe de Souza; Bisolo, Louise; Silva, Nivaldo Adolfo da; Soldatelli, Matheus Dorigatti; Campos, Christiane Monteiro de Siqueira; Vedolin, Leonardo; Amaral, Lázaro Luís Faria do; Rocha, Antônio José da

doi:10.1016/j.clinimag.2023.03.014

Cited by 6 publications

(2 citation statements)

References 62 publications

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“…The vessel wall may show nodular or smooth enhancement, with or without stenosis. Intracranial vessel wall enhancement is more common than brain infarction in patients with TBM, and this technique has demonstrated that cerebral artery involvement is more common and extensive than previously thought 55 …”

Section: Specific Issues When Diagnosing Cns Tb and The Role Of Mrimentioning

confidence: 85%

“…Conventional catheter angiographic triad of TBM typically demonstrates a hydrocephalic pattern that includes narrowing of the arteries at the base of the brain and narrowing or occlusion of the small or medium‐sized arteries with early draining veins 53,54 . In this scenario, intracranial high‐resolution vessel wall MRI has the advantage to show wall inflammation of the proximal vessels before changes in vessel caliber appear 55–57 . The vessel wall may show nodular or smooth enhancement, with or without stenosis.…”

Section: Specific Issues When Diagnosing Cns Tb and The Role Of Mrimentioning

confidence: 99%

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Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

Mertiri,

Freiling,

Desai

et al. 2023

Journal of Neuroimaging

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Neurotuberculosis is defined as a tuberculous infection of the meninges, brain parenchyma, vessels, cranial and spinal nerves, spinal cord, skull, and spine that can occur either in a localized or in a diffuse form.It is a heterogeneous disease characterized by many imaging appearances and it has been defined as “the great mimicker” due to similarities with many other conditions.The diagnosis of central nervous system (CNS) tuberculosis (TB) is based on clinical presentation, neuroimaging findings, laboratory and microbiological findings, and comprehensive evaluation of the response to anti‐TB drug treatment.However, the absence of specific symptoms, the wide spectrum of neurological manifestations, the myriad of imaging findings, possible inconclusive laboratory results, and the paradoxical reaction to treatment make the diagnosis often challenging and difficult, potentially delaying adequate treatment with possible devastating short‐term and long‐term neurologic sequelae.Familiarity with the imaging characteristics helps in accurate diagnosis and may prevent or limit significantly morbidity and mortality. The goal of this review is to provide a comprehensive up‐to‐date overview of the conventional and advanced imaging features of CNS TB for radiologists, neuroradiologists, and pediatric radiologists. We discuss the most typical neurotuberculosis imaging findings and their differential diagnosis in children and adults with the goal to provide a global overview of this entity.

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Section: Specific Issues When Diagnosing Cns Tb and The Role Of Mrimentioning

confidence: 85%

Section: Specific Issues When Diagnosing Cns Tb and The Role Of Mrimentioning

confidence: 99%

Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

Mertiri,

Freiling,

Desai

et al. 2023

Journal of Neuroimaging

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Unlocking insights on high‐resolution vessel wall imaging's role in acute ischemic stroke management: A case series and review of literature

Haradwala,

Mahmoud,

Isufi

et al. 2024

Clinical Neuroimaging

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The application of vessel wall imaging (VWI) MRI technique has emerged as a valuable tool in characterizing atherosclerotic plaques within both stenotic and non‐stenotic vessels. In this case series, we focused on the clinical‐radiologic correlation for a series of patients presenting with acute ischemic stroke (AIS) who underwent VWI. Eight patients with AIS within the anterior and posterior circulation underwent further comprehensive evaluation with high‐resolution VWI. Through meticulous examination of plaque morphology and enhancement patterns on VWI, we gleaned invaluable insights into identifying high‐risk plaques. These high‐risk plaques, such as ruptured or ulcerative lesions, significantly elevate the potential risk of developing AIS. By stratifying atherosclerotic plaques using VWI, we can tailor treatment strategies to individual patients. This tailored approach may involve a combination of different medications, endovascular therapy, or follow‐up with conventional cerebral angiography. Overall, our findings underscore the importance of VWI in guiding personalized treatment decisions and improving patient outcomes in AIS management.

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Neurosyphilis

Corrêa,

Oliveira,

Hygino da Cruz Jr.

2025

Neurobiology of Infectious Diseases

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Intracranial vessel wall magnetic resonance imaging features of infectious vasculitis

Cited by 6 publications

References 62 publications

Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

Unlocking insights on high‐resolution vessel wall imaging's role in acute ischemic stroke management: A case series and review of literature

Neurosyphilis

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