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Seltene Formen der entzündlichen Erkrankungen des Zentralnervensystems

Unusual forms of inflammatory diseases of the central nervous system

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Zusammenfassung

Hintergrund

Entzündlich bedingte Schäden der weißen Substanz sind häufige Befunde in der kranialen Magnetresonanztomographie (cMRT). Wenn die Bildmorphologie, Symptomatik und Laborwerte nicht den geläufigen Krankheitsbildern entsprechen, bilden sie die Grundlage interessanter aber auch manchmal emotional geführter Diskussionen.

Ziel

Während in einem vorherigen Artikel bereits die typischen Erkrankungen diskutiert wurden, wird im folgenden Beitrag auf ungewöhnliche Ursachen eingegangen. Dabei wird das Augenmerk auf charakteristische Unterscheidungsmerkmale gelegt, die dem Radiologen eine Zuordnung erleichtern sollen.

Abstract

Background

White matter lesions of the central nervous system (CNS) are frequently encountered on magnetic resonance imaging (MRI) exams. If the morphologic findings, clinical symptoms and laboratory results are not typical for one of the more common inflammatory CNS diseases, the diagnosis may become challenging, which also means that interesting and sometime emotional discussions may arise.

Objective

While frequent causes of inflammatory CNS diseases were already discussed in a previous article, we now focus on more seldom forms and place attention on morphologic characteristics which may help to find the correct diagnosis.

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Authors and Affiliations

  1. Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Str., Gebäude 90, 66421, Homburg/Saar, Deutschland

    Armin Bachhuber

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  1. Armin Bachhuber
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Correspondence to Armin Bachhuber.

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Interessenkonflikt

A. Bachhuber gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Bachhuber, A. Seltene Formen der entzündlichen Erkrankungen des Zentralnervensystems. Radiologe 62, 302–307 (2022). https://doi.org/10.1007/s00117-022-00983-y

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