Brain Abscess Uptake at Tl-201 Brain SPECT.
- Author:
Won Hyoung LEE
1
;
Eun Ji HAN
;
Ie Ryung YOO
;
Yong An CHUNG
;
Hyung Sun SOHN
;
Sung Hoon KIM
;
Soo Kyo CHUNG
;
Yeong Jin CHOI
Author Information
1. Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea. nm@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Tl-201;
MRI;
MRS;
brain abscess
- MeSH:
Anti-Bacterial Agents;
Brain Abscess*;
Brain*;
Edema;
Female;
Frontal Lobe;
Headache;
Histiocytes;
Humans;
Leukocytes;
Lymphocytes;
Magnetic Resonance Imaging;
Neutrophils;
Precursor Cell Lymphoblastic Leukemia-Lymphoma;
Tomography, Emission-Computed, Single-Photon*;
Tomography, X-Ray Computed;
Vomiting;
Young Adult
- From:Nuclear Medicine and Molecular Imaging
2007;41(4):339-341
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 22-year-old woman with a history of acute lymphoblastic leukemia was hospitalized for headache and vomiting. CT scan showed a well-defined, ring like enhancing mass in the left frontal lobe with surrounding edema and midline shift. Magnetic resonance imaging demonstrated a round homogeneous mass with a ring of enhancement in the left frontal lobe. Tl-201 brain SPECT showed increased focal uptake coinciding with the CT and MRI abnormality. Aspiration of the lesion performed through a burr hole yielded many neutrophils, a few lymphocytes and histiocytes with some strands of filamentous microorganism-like material. Modified AFB stained negative for norcardia. Gram stain showed a few white blood cells and no microorganism. Antibiotics were started and produced a good clinical response. After one month, CT scan showed markedly reduction in size and extent was observed.
