Magnetic Resonance Imaging and Angiography in Cerebral Fungal Vasculitis

C. Christophe; N. Azzi; B. Bouché; B. Dan; M. Levivier; A. Ferster

doi:10.1055/s-2007-973494

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Neuropediatrics 1999; 30(4): 218-220
DOI: 10.1055/s-2007-973494

Short communications

Magnetic Resonance Imaging and Angiography in Cerebral Fungal Vasculitis

C. Christophe¹ , N. Azzi² , B. Bouché¹ , B. Dan² , M. Levivier³ , A. Ferster²

¹Department of Radiology, Hôpital Universitaire des Enfants Reine Fabiola, Brussels, Belgium
²Department of Pediatrics, Hôpital Universitaire des Enfants Reine Fabiola, Brussels, Belgium
³Department of Neurosurgery, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

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Publication History

Publication Date:
12 March 2007 (online)

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Abstract

We report on an 11-year old girl treated for leukemia who developed infarcts in the right lentiform nucleus and temporal lobe. Magnetic resonance angiography (MRA) showed mild intraluminal irregularities in the right carotid syphon and stenosis of the right proximal middle cerebral artery, suggesting vasculitis. Magnetic resonance imaging (MRI) follow-up showed evolution of the initial infarct into an abscess. Stereotactic biopsy disclosed filaments of aspergillus. This report emphasizes the fact that cerebral aspergillosis should be considered if MRA and MRI are indicative of vasculitis and cerebral infarction in immunosuppressed children.

Key words

Aspergillosis - Brain infection - Brain - Magnetic resonance - Ischemic infarct

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