Usefulness of contrast enhanced FLAIR imaging for predicting the severity of meningitis

The aim of this study was to evaluate whether contrast enhanced fluid attenuated inversion recovery (CE-FLAIR) imaging can be used to predict the severity of meningitis based on leptomeningeal enhancement (LE) score and cerebrospinal fluid signal intensity (CSF-SI) on CE-FLAIR. We retrospectively an...

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Bibliographic Details
Published in:Journal of neurology 2014-04, Vol.261 (4), p.817-822
Main Authors: Lee, Jeong Sub, Park, Ji Kang, Kim, Seung Hyoung, Jeong, Sun Young, Kim, Bong Soo, Choi, Gukmyoung, Lee, Mu Suk, Ko, Su Yeon, Hwang, Im-Kyung
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Cerebrospinal Fluid Proteins - cerebrospinal fluid
Child
Child, Preschool
Contrast agents
Female
Glasgow Coma Scale
Glucose
Hospitals
Humans
Image Processing, Computer-Assisted
Infant
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medical prognosis
Medicine
Medicine & Public Health
Meningitis
Meningitis - complications
Meningitis - diagnosis
Meningitis - pathology
Middle Aged
Neurology
Neuroradiology
Neurosciences
Original Communication
Patients
Predictive Value of Tests
Prognosis
Proteins
Ratios
Retrospective Studies
Scanners
Young Adult
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Summary:The aim of this study was to evaluate whether contrast enhanced fluid attenuated inversion recovery (CE-FLAIR) imaging can be used to predict the severity of meningitis based on leptomeningeal enhancement (LE) score and cerebrospinal fluid signal intensity (CSF-SI) on CE-FLAIR. We retrospectively analyzed data collected from 43 consecutive patients admitted to our hospital due to meningitis. Clinical factors including initial Glasgow Coma Scale (GCS) score, CSF glucose ratio, log CSF protein, log CSF WBC, and prognosis were evaluated. The LE score was semi-quantitatively scored, and we evaluated CSF-SI ratio at the interpeduncular or quadrigerminal cisterns on CE-FLAIR. We evaluated the differences in clinical variables, LE scores and CSF-SI ratios between the recovery and the complication group. We assessed the correlation between clinical variables, LE scores and CSF-SI ratios. The values of log CSF protein, CSF-SI ratio, and LE score were significantly higher in the complication group ( p value
ISSN:0340-5354
1432-1459
DOI:10.1007/s00415-014-7268-0