Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a Foal

Magnetic resonance imaging (MRI) in equidae suffering meningoencephalitis (ME) has not been described. The objective of this paper is to describe brain MRI findings in a foal with bacterial ME. A five-month-old, 200 kg bwt Arabian filly was referred with a history of abnormal mental status and loco...

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Main Authors: Judit Viu, Lara Armengou, Cristian de la Fuente, Carla Cesarini, Sònia Añor, Eduard Jose-Cunilleras
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Veterinary Medicine
Online Access:http://dx.doi.org/10.1155/2012/402714
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author Judit Viu
Lara Armengou
Cristian de la Fuente
Carla Cesarini
Sònia Añor
Eduard Jose-Cunilleras
author_facet Judit Viu
Lara Armengou
Cristian de la Fuente
Carla Cesarini
Sònia Añor
Eduard Jose-Cunilleras
author_sort Judit Viu
collection DOAJ
description Magnetic resonance imaging (MRI) in equidae suffering meningoencephalitis (ME) has not been described. The objective of this paper is to describe brain MRI findings in a foal with bacterial ME. A five-month-old, 200 kg bwt Arabian filly was referred with a history of abnormal mental status and locomotion. The filly was recumbent and obtunded, and pupillary light reflexes were sluggish, and oculocephalic movements were normally present. Ophthalmic examination revealed bilateral optic neuritis. Hematology revealed leukocytosis and neutrophilia. Cerebrospinal fluid analysis showed neutrophilic pleocytosis with intracellular bacteria. On brain MRI, there were multifocal cortical areas of mild hyperintensity on T2-weighted images (T2WI) affecting both hemispheres. The lesions had ill-delineated margins, and there was loss of differentiation between gray and white matter. Diffuse hyperintensity was also identified in the left cerebellar cortex on T2WI. Neither mass effect nor cerebral midline shift were identified. On FLAIR images, the lesions were also hyperintense and, in some areas, they seemed to coalescence to form diffuse cortical areas of hyperintensity. The MRI findings described were similar to the MRI features described in cases of humans and small animals with ME. Brain MRI can be a useful diagnostic tool in foals and small-sized equidae with intracranial disease.
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spelling doaj-art-3bd5b74d88a44104bc4133de733d0e272025-02-03T05:53:45ZengWileyCase Reports in Veterinary Medicine2090-70012090-701X2012-01-01201210.1155/2012/402714402714Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a FoalJudit Viu0Lara Armengou1Cristian de la Fuente2Carla Cesarini3Sònia Añor4Eduard Jose-Cunilleras5Servei de Medicina Interna Equina, Departament de Medicina i Cirugia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainServei de Medicina Interna Equina, Departament de Medicina i Cirugia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainServei de Neurologia i Neurocirurgia, Departament de Medicina i Cirugia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainServei de Medicina Interna Equina, Departament de Medicina i Cirugia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainServei de Neurologia i Neurocirurgia, Departament de Medicina i Cirugia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainServei de Medicina Interna Equina, Departament de Medicina i Cirugia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainMagnetic resonance imaging (MRI) in equidae suffering meningoencephalitis (ME) has not been described. The objective of this paper is to describe brain MRI findings in a foal with bacterial ME. A five-month-old, 200 kg bwt Arabian filly was referred with a history of abnormal mental status and locomotion. The filly was recumbent and obtunded, and pupillary light reflexes were sluggish, and oculocephalic movements were normally present. Ophthalmic examination revealed bilateral optic neuritis. Hematology revealed leukocytosis and neutrophilia. Cerebrospinal fluid analysis showed neutrophilic pleocytosis with intracellular bacteria. On brain MRI, there were multifocal cortical areas of mild hyperintensity on T2-weighted images (T2WI) affecting both hemispheres. The lesions had ill-delineated margins, and there was loss of differentiation between gray and white matter. Diffuse hyperintensity was also identified in the left cerebellar cortex on T2WI. Neither mass effect nor cerebral midline shift were identified. On FLAIR images, the lesions were also hyperintense and, in some areas, they seemed to coalescence to form diffuse cortical areas of hyperintensity. The MRI findings described were similar to the MRI features described in cases of humans and small animals with ME. Brain MRI can be a useful diagnostic tool in foals and small-sized equidae with intracranial disease.http://dx.doi.org/10.1155/2012/402714
spellingShingle Judit Viu
Lara Armengou
Cristian de la Fuente
Carla Cesarini
Sònia Añor
Eduard Jose-Cunilleras
Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a Foal
Case Reports in Veterinary Medicine
title Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a Foal
title_full Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a Foal
title_fullStr Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a Foal
title_full_unstemmed Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a Foal
title_short Magnetic Resonance Imaging of Bacterial Meningoencephalitis in a Foal
title_sort magnetic resonance imaging of bacterial meningoencephalitis in a foal
url http://dx.doi.org/10.1155/2012/402714
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