Abstract
The promise of computed axial tomography in the diagnosis of intracran-ial infections predicted by Altemus and Taveras in 1974 appears well supported by numerous investigators.2–17 Early diagnosis and prompt effective treatment of CNS infections is essential to achieve lowered morbidity and mortality rates, as indicated by recent reports.4-7 Computed tomography’s revolutionary impact on the evaluation of neurologic disorders in general warrants a review of the current neuroradiologic approach to the diagnosis of CNS infection. Investigative modalities once important in diagnosis of CNS infection have either been abandoned or have assumed a secondary role since the advent of computed tomography (CT). Superior soft tissue discrimination by CT allows a more accurate assessment of the extent and location of an infective process than hitherto possible.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Altemus, L.R. and Taveras, J.M. Current concepts in the neuroradiologic diagnosis of intracranial infection. Adv. Neurol. 6:229–256, 1974.
Newton, T.H., Norman, D., Alvord, E.C., and Shaw, CM. The CT scan in infectious diseases of the CNS. In: Computed Tomography. Norman, D., Korobkin, M., and Newton, T.H., eds. St. Louis: Mosby, 1977, pp. 317–338.
Claveria, L.E., Du Boulay, G.H., and Moseley, I.F. Intracranial infections: investigation by computerized axial tomography. Neuroradiology 12:59–71, 1976.
Whelan, M.A., and Hilal, S.K. Computed Tomography as a guide in the diagnosis and follow-up of brain abscesses. Radiology 135:663–671, 1980.
Stevens, E.A., Norman, D., Kramer, R.A., Messina, A.B., and Newton, T.H. Computed tomographic brain scanning in intraparenchymal pyogenic abscesses. A.J.R. 230:111–114, 1978.
Rosenblum, M.L., Huff, J.T., Norman, D., Weinstein, P.R., and Pitts, L. Decreased mortality from brain abscesses since advent of computerized tomography. J. Neurosurg. 49:658–668, 1978.
New, P.F.J., Davis, K.R. and Ballantine, Jr., H.T. Computed tomography in cerebral abscess. Radiology 122:641–646, 1976.
Weisberg, L.A. Cerebral computerized tomography in intracranial inflammatory disorders. Arch. Neurol. 37:137–142, 1980.
Zimmerman, R.A., Bilaniuk, L.T., Shipkin, P.M., Gilden, D.H., and Murtagh, F. Evaluation of cerebral abscess: correlation of clinical features with computed tomography. Neurology 27:14–19, 1977.
Kaufman, D.M., and Leeds, N.E. Computed Tomography (CT) in the diagnosis of intracranial abscesses. Neurology 27:1069–1073, 1977.
Shaw, M.D.M., and Russell, J.A. Value of computed tomography in the diagnosis of intracranial abscess. J. Neurol. Neurosurg. Psychiatry 40:214–220, 1977.
Joubert, M.J., and Stephanov, S. Computerized tomography and surgical treatment in intracranial suppuration. J. Neurosurg. 47:73–78, 1977.
Rotherman, Jr., E.B., and Kessler, L.A. Use of computerized tomography in nonsurgical management of brain abscess. Arch Neurol. 36:25–26, 1979.
Berg, B., Franklin, G., Caneo, R., Boldrey, E., and Strimling, B. Nonsurgical cure of brain abscess: early diagnosis and followup with computerized tomography. Ann. Neurol. 3:474–478, 1978.
Lott, T., El Gammal, T., Dasiliva, R., Hanks, D., and Reynolds, J. Evaluation of brain and epidural abscesses by computed tomography. Radiology 122:371–376, 1977.
Dunker, R.O., and Khakoo, R.A. Failure of computed tomographic scanning to demonstrate subdural empyema. J.A.M.A. 246:1116–1118, 1981.
Sadha, V.K., Handel, S.F., Pinto, R.S., and Glass, T.F. Neuroradiologic diagnosis of subdural empyema and ct limitations. Am. J. Neuroradiol. 2:39–44, 1980.
Baker, A.S., Ojemann, R.G., Swartz, M.N., and Richardson, Jr., E.P. Spinal epidural abscess. N. Engl. J. Med. 293:463–468, 1975.
Chambers, A.A., Lukin, R.R., and Tomsick, T.A. Cranial and intracranial tuberculosis. Sem. Roentgenol. Vol. 14, No. 4, 1979.
Enzmann, D.R., Norman, D., Mani, J., and Newton, T.H. Computed tomography of granulomatous basal arachnoiditis. Radiology 220:341–344, 1976.
Burger, P.C., and Vogel, F.S. Surgical Pathology of the Nervous System and Its Coverings. New York: John Wiley and Sons, 1976.
Enzmann, D.R., Britt, R.H., and Yeager, A.S. Experimental brain abscess evaluation: computed tomographic and neuropathologic correlation. Radiology 133:113–122, 1979.
Enzmann, D.R., Britt, R.H., Lyons, B., Carroll, B., Wilson, D.A., and Bux-ton, J. High-resolution ultrasound evaluation of experimental abscess evolution: comparison with computed tomography and neuropathology. Radiology 142:95–102, 1982.
Whitley, R.J., Soong, S., Linneman, Jr., C, Liu, C, Pazin, G., Alford, C.A., and National Inst. of Allergy and Infectious Diseases Collaborative Antiviral Study Group. Herpes Simplex encephalitis. J.A.M.A. 247:317–320, 1982.
Whitley, R.J., Soong, S., Hirsch, M.S., Karchmer, A. W., Dolin, R., Galasso, G., Dunnick, J. K., Alford, C.A., and NIAID Collaborative Antiviral Study Group. Herpes simplex encephalitis—vidarabine therapy and diagnostic problems. N. Engl. J. Med. 304:313–318, 1981.
Landry, M.L., Booss, J., and Hsiung, G.D. Duration of vidarabine therapy in biopsy-negative herpes simplex encephalitis. J.A.M.A. 247:332–334,1982.
Duda, E.E., Huttenlocher, P.R., and Patronas, N.J. CT of subacute scleros-ing panencephalitis. Am. J. Neuroradiol. 1:35–38, 1980.
Hammock, M.K., and Milhorat, T.H., Computed Tomography in Infancy and Childhood. Baltimore/London: Williams and Wilkins, pp. 299–341, 1981.
Lazo, A., Wilner, H.I., and Metes, J.J. Craniofacial mucormycosis: computed tomographic and angiographic findings in two cases. Radiology 139:623–626, 1981.
Addlestone, R.B., and Baylin, G.J. Rhinocerebral mucormycosis. Radiology 115:113–111, 1975.
Centeno, R.S., Bentson, J.R., and Mancuso, A.A. CT scanning in rhinocerebral mucormycosis and aspergillosis. Radiology 140:383–389, 1981.
Whelan, M.A., Ster, J., and De Napoli, R.A. The computed tomographic spectrum of intracranial mycosis: correlation with histopathology. Radiology 141:103–101, 1981.
Carbajal, J.R., Palacios, E., Azar-Kia, B., and Churchill, R. Radiology of cysticercosis of the central nervous system including computed tomography. Radiology 125:121–131, 1977.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1984 Spectrum Publications, Inc.
About this chapter
Cite this chapter
Hodak, J.A. (1984). Neuroradiologic Diagnosis of Central Nervous System Infection. In: Thompson, R.A., Green, J.R. (eds) Infectious Diseases of the Central Nervous System. Neurologic Illness. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-6332-3_8
Download citation
DOI: https://doi.org/10.1007/978-94-011-6332-3_8
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-011-6334-7
Online ISBN: 978-94-011-6332-3
eBook Packages: Springer Book Archive