Abstract
SUMMARY: Early diagnosis and prompt initiation of adequate treatment are essential for clinical outcome in ISCA. We report a case in which DWI provided a more specific diagnosis than conventional MR imaging and allowed differentiation of a ring-enhancing lesion from intramedullary tumor. Diagnosis was proved by PCR from CSF (Streptococcus intermedius). Adequate antibiotic treatment was immediately initiated, and the patient recovered completely.
Abbreviations
- ADC
- apparent diffusion coefficient
- DWI
- diffusion-weighted imaging
- Gd
- gadolinium
- ISCA
- intramedullary spinal cord abscess
- PCR
- polymerase chain reaction
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