Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders
OBJECTIVE: To describe the role of magnetic resonance imaging (MRI) in the evaluation of patients with chronic and recurrent aseptic meningitis.METHOD: A retrospective study of five patients with aseptic meningoencefalitis diagnosed by clinical and CSF findings. CT scans showed without no relevant findings. RESULTS: MRI showed small multifocal lesions hyperintense on T2 weighted images and FLAIR, with mild or no gadolinium enhancement, mainly in periventricular and subcortical regions. Meningoencephalitis preceded the diagnosis of the underlying disease in four patients (Behçet´s disease or systemic lupus erythematosus). After the introduction of adequate treatment for the rheumatic disease, they did not present further symptoms of aseptic meningoencephalitis. CONCLUSION: Aseptic meningoencephalitis can be an early presentation of an autoimmune disease. It is important to emphasize the role of MRI in the diagnosis and follow-up of these patients.
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Academia Brasileira de Neurologia - ABNEURO
2000
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oai:scielo:S0004-282X20000001000072000-04-03Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disordersAPPENZELLER,SIMONEKOBAYASHI,ELIANECOSTALLAT,LILIAN T.L.ZANARDI,VERÔNICA DE ARAUJORIBEIRO NETO,JOSÉ MENEZESDAMASCENO,BENITO PEREIRACENDES,FERNANDO magnetic resonance imaging CNS vasculitis aseptic meningitis systemic lupus erythematosus lupus Behçet disease OBJECTIVE: To describe the role of magnetic resonance imaging (MRI) in the evaluation of patients with chronic and recurrent aseptic meningitis.METHOD: A retrospective study of five patients with aseptic meningoencefalitis diagnosed by clinical and CSF findings. CT scans showed without no relevant findings. RESULTS: MRI showed small multifocal lesions hyperintense on T2 weighted images and FLAIR, with mild or no gadolinium enhancement, mainly in periventricular and subcortical regions. Meningoencephalitis preceded the diagnosis of the underlying disease in four patients (Behçet´s disease or systemic lupus erythematosus). After the introduction of adequate treatment for the rheumatic disease, they did not present further symptoms of aseptic meningoencephalitis. CONCLUSION: Aseptic meningoencephalitis can be an early presentation of an autoimmune disease. It is important to emphasize the role of MRI in the diagnosis and follow-up of these patients.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.58 n.1 20002000-03-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000100007en10.1590/S0004-282X2000000100007 |
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APPENZELLER,SIMONE KOBAYASHI,ELIANE COSTALLAT,LILIAN T.L. ZANARDI,VERÔNICA DE ARAUJO RIBEIRO NETO,JOSÉ MENEZES DAMASCENO,BENITO PEREIRA CENDES,FERNANDO |
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APPENZELLER,SIMONE KOBAYASHI,ELIANE COSTALLAT,LILIAN T.L. ZANARDI,VERÔNICA DE ARAUJO RIBEIRO NETO,JOSÉ MENEZES DAMASCENO,BENITO PEREIRA CENDES,FERNANDO Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders |
author_facet |
APPENZELLER,SIMONE KOBAYASHI,ELIANE COSTALLAT,LILIAN T.L. ZANARDI,VERÔNICA DE ARAUJO RIBEIRO NETO,JOSÉ MENEZES DAMASCENO,BENITO PEREIRA CENDES,FERNANDO |
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APPENZELLER,SIMONE |
title |
Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders |
title_short |
Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders |
title_full |
Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders |
title_fullStr |
Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders |
title_full_unstemmed |
Magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders |
title_sort |
magnetic resonance imaging in the evaluation of patients with aseptic meningoencephalitis and connective tissue disorders |
description |
OBJECTIVE: To describe the role of magnetic resonance imaging (MRI) in the evaluation of patients with chronic and recurrent aseptic meningitis.METHOD: A retrospective study of five patients with aseptic meningoencefalitis diagnosed by clinical and CSF findings. CT scans showed without no relevant findings. RESULTS: MRI showed small multifocal lesions hyperintense on T2 weighted images and FLAIR, with mild or no gadolinium enhancement, mainly in periventricular and subcortical regions. Meningoencephalitis preceded the diagnosis of the underlying disease in four patients (Behçet´s disease or systemic lupus erythematosus). After the introduction of adequate treatment for the rheumatic disease, they did not present further symptoms of aseptic meningoencephalitis. CONCLUSION: Aseptic meningoencephalitis can be an early presentation of an autoimmune disease. It is important to emphasize the role of MRI in the diagnosis and follow-up of these patients. |
publisher |
Academia Brasileira de Neurologia - ABNEURO |
publishDate |
2000 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000100007 |
work_keys_str_mv |
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