KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Pediatric pelvic pyomyositis: initial MRI can be misleading.... (J Pediatr Orthop B)
  • Decreased Network Efficiency in Benign Epilepsy with Centrotemporal Spikes.... (Radiology)
  • Radiation exposure from videofluoroscopic swallow studies in children with a type 1 laryngeal cleft ... (Int J Pediatr Otorhinolaryngol)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    Radiolopolis

    The dynamic Radiology community for education, research and practice


     

    Go to the top of the page   ID: 20021023155928 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

    Bookmark and Share


    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
     
    Multicystic medullary degeneration after meningitis
    R Haase, Wolfgang Hirsch. Multicystic medullary degeneration after meningitis. PedRad [serial online] vol 2, no. 10.
    URL: www.PedRad.info/?search=20021023155928


    ( There are questions in the CMK-Mode for this topic )

     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    R. Haase, Wolfgang Hirsch (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    3 Weeks  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Head-Brain and brain nerves  

     
     Pediatric Radiology CasesMost likely etiology:

    inflammatory or infectious  

     
     Pediatric Radiology CasesHistory:

    3 week-old infant, which was admitted because the mother was admitted for one week for acute mastitis in the gynecology department (Streptococcus agalacticae).

    After the mother and child were discharged: Sudden shock and generalized seizures set in.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The cause of the multicystic encephalopathy following meningitis is contributed to the edema and consecutive decrease in perfusion. It is still unclear if this is a local encephalitic concurring reaction of the brain (and therefore a local inflammatory edema), or if the origin of the edema is caused by a) a decreased local venous flow (stasis edema) or b) a vasogenic (arterial) spasm (insufficient perfusion edema).  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: upper series: Beginning findings on the first day of treatment: a: parasagittal slice: punctuated hyperechogenicities in the marrow (5 MHz). b & c: Part (12 MHz) coronal (b) and sagittal (c): confluent hyperechogenicities (Marrow edema)

    Lower series: Follow-up examination on the 14th day of treatment: d: parasagittal slice: in the close-up with a sector transducer there are no echogenicity increases seen (5 MHz); e & f: (12 MHz) coronal (e) and sagittal (f): obvious multicystic cerebral parenchymal degeneration.




    MRI 1 <- view MRI 1

    MRI 1: Upper series: Beginning findings on the first day of treatment: a: T2-TSE transversal: frontal and parietal marrow edema.
    b: T1-SE coronal: the high-lying parietal edema is seen as a slight decrease in signal.

    Lower series: c: T2-TSE transversal: increased signal in a colliquation necrosis in the area of the previous frontal edema. The small cystic structure of the the necroses cannot be seen in MRI. b: T1-SE coronal: Areas of necrosis located parietally are shown with decreased signal in the follow-up.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Laboratory diagnostics  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Periventricular Leucomalasia of a mature child.

    Regardless of the cause, every cerebral edema or every severe hypotonia can lead to a similar presentation.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    rare  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Multicystic medullary degeneration, Leucencephalomalasia, meningitis, generalized seizures, shock, Streptococcus agalacticae, mother mastitis, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    R Haase, Wolfgang Hirsch. Multicystic medullary degeneration after meningitis. PedRad [serial online] vol 2, no. 10.
    URL: www.PedRad.info/?search=20021023155928  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Head-Brain and brain nerves
    or in the region: Head
    or in the tissue/organ: Brain and brain nerves
    or with the etiology: inflammatory or infectious
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Multicystic medullary degeneration after meningitis
    R Haase, Wolfgang Hirsch. Multicystic medullary degeneration after meningitis. PedRad [serial online] vol 2, no. 10.
    URL: www.PedRad.info/?search=20021023155928


    ( There are questions in the CMK-Mode for this topic )

     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Multicystic medullary degeneration after meningitis
    Other cases by these authors:

    Search R. Haase in Medline R. Haase (1)   
    Search Wolfgang Hirsch in Medline Wolfgang Hirsch (17)   

    Multicystic medullary degeneration after meningitis  
     
    Multicystic medullary degeneration after meningitis
    R Haase, Wolfgang Hirsch. Multicystic medullary degeneration after meningitis. PedRad [serial online] vol 2, no. 10.
    URL: www.PedRad.info/?search=20021023155928


    ( There are questions in the CMK-Mode for this topic )

     
     
    Multicystic medullary degeneration after meningitis
    R Haase, Wolfgang Hirsch. Multicystic medullary degeneration after meningitis. PedRad [serial online] vol 2, no. 10.
    URL: www.PedRad.info/?search=20021023155928


    ( There are questions in the CMK-Mode for this topic )

     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
     
    Multicystic medullary degeneration after meningitis
    R Haase, Wolfgang Hirsch. Multicystic medullary degeneration after meningitis. PedRad [serial online] vol 2, no. 10.
    URL: www.PedRad.info/?search=20021023155928


    ( There are questions in the CMK-Mode for this topic )

     




    Discussion >> Write Comment <<



      There are no comments available regarding this case.





     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 2280

    Name: *

    E-Mail:

    Website:

    Subject: *

    Text: *




     
      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
      To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2016   www.kinderradiologie-online.de
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions: information@kinderradiologie-online.de
      Add this site to your favorites (CTRL+D)