Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001000738 |
Resumo: | The current diagnostic criteria for multiple sclerosis (MS) confirm the relevant role of magnetic resonance imaging (MRI), supporting the possibility of characterizing the dissemination in space (DIS) and the dissemination in time (DIT) in a single scan. To maintain the specificity of these criteria, it is necessary to determine whether T2/FLAIR visible lesions and the gadolinium enhancement can be attributed to diseases that mimic MS. Several diseases are included in the MS differential diagnosis list, including diseases with exacerbation, remitting periods and numerous treatable infectious diseases, which can mimic the MRI features of MS. We discuss the most relevant imaging features in several infectious diseases that resemble MS and examine the primary spatial distributions of lesions and the gadolinium enhancement patterns related to MS. Recognizing imaging "red flags" can be useful for the proper diagnostic evaluation of suspected cases of MS, facilitating the correct differential diagnosis by assessing the combined clinical, laboratory and MR imaging information. |
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Arquivos de neuro-psiquiatria (Online) |
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Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRIcentral nervous system infectionsmultiple sclerosisdifferential diagnosismagnetic resonance imagingMRIinfeccoes do sistema nervoso centralesclerose multipladiagnostico diferencialimagem por ressonancia magneticaRMThe current diagnostic criteria for multiple sclerosis (MS) confirm the relevant role of magnetic resonance imaging (MRI), supporting the possibility of characterizing the dissemination in space (DIS) and the dissemination in time (DIT) in a single scan. To maintain the specificity of these criteria, it is necessary to determine whether T2/FLAIR visible lesions and the gadolinium enhancement can be attributed to diseases that mimic MS. Several diseases are included in the MS differential diagnosis list, including diseases with exacerbation, remitting periods and numerous treatable infectious diseases, which can mimic the MRI features of MS. We discuss the most relevant imaging features in several infectious diseases that resemble MS and examine the primary spatial distributions of lesions and the gadolinium enhancement patterns related to MS. Recognizing imaging "red flags" can be useful for the proper diagnostic evaluation of suspected cases of MS, facilitating the correct differential diagnosis by assessing the combined clinical, laboratory and MR imaging information.Academia Brasileira de Neurologia - ABNEURO2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001000738Arquivos de Neuro-Psiquiatria v.71 n.9B 2013reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20130162info:eu-repo/semantics/openAccessRocha,Antonio Jose daLittig,Ingrid AguiarNunes,Renato HoffmannTilbery,Charles Petereng2013-10-10T00:00:00Zoai:scielo:S0004-282X2013001000738Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2013-10-10T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI |
title |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI |
spellingShingle |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI Rocha,Antonio Jose da central nervous system infections multiple sclerosis differential diagnosis magnetic resonance imaging MRI infeccoes do sistema nervoso central esclerose multipla diagnostico diferencial imagem por ressonancia magnetica RM |
title_short |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI |
title_full |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI |
title_fullStr |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI |
title_full_unstemmed |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI |
title_sort |
Central nervous system infectious diseases mimicking multiple sclerosis: recognizing distinguishable features using MRI |
author |
Rocha,Antonio Jose da |
author_facet |
Rocha,Antonio Jose da Littig,Ingrid Aguiar Nunes,Renato Hoffmann Tilbery,Charles Peter |
author_role |
author |
author2 |
Littig,Ingrid Aguiar Nunes,Renato Hoffmann Tilbery,Charles Peter |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Rocha,Antonio Jose da Littig,Ingrid Aguiar Nunes,Renato Hoffmann Tilbery,Charles Peter |
dc.subject.por.fl_str_mv |
central nervous system infections multiple sclerosis differential diagnosis magnetic resonance imaging MRI infeccoes do sistema nervoso central esclerose multipla diagnostico diferencial imagem por ressonancia magnetica RM |
topic |
central nervous system infections multiple sclerosis differential diagnosis magnetic resonance imaging MRI infeccoes do sistema nervoso central esclerose multipla diagnostico diferencial imagem por ressonancia magnetica RM |
description |
The current diagnostic criteria for multiple sclerosis (MS) confirm the relevant role of magnetic resonance imaging (MRI), supporting the possibility of characterizing the dissemination in space (DIS) and the dissemination in time (DIT) in a single scan. To maintain the specificity of these criteria, it is necessary to determine whether T2/FLAIR visible lesions and the gadolinium enhancement can be attributed to diseases that mimic MS. Several diseases are included in the MS differential diagnosis list, including diseases with exacerbation, remitting periods and numerous treatable infectious diseases, which can mimic the MRI features of MS. We discuss the most relevant imaging features in several infectious diseases that resemble MS and examine the primary spatial distributions of lesions and the gadolinium enhancement patterns related to MS. Recognizing imaging "red flags" can be useful for the proper diagnostic evaluation of suspected cases of MS, facilitating the correct differential diagnosis by assessing the combined clinical, laboratory and MR imaging information. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001000738 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001000738 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282X20130162 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.71 n.9B 2013 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
_version_ |
1754212775343685632 |