Brain Abscess Uptake at TI-201 Brain SPECT

탈륨-201 SPECT에서 뇌농양 집적

  • Lee, Won-Hyoung (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Han, Eun-Ji (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Yoo, le-Ryung (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Chung, Yong-An (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Sohn, Hyung-Sun (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Kim, Sung-Hoon (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Chung, Soo-Kyo (Department of Radiology, College of Medicine, The Catholic University of Korea) ;
  • Choi, Yeong-Jin (Department of Hospital pathology, College of Medicine, The Catholic University of Korea)
  • 이원형 (가톨릭대학교 방사선과학교실) ;
  • 한은지 (가톨릭대학교 방사선과학교실) ;
  • 유이령 (가톨릭대학교 방사선과학교실) ;
  • 정용안 (가톨릭대학교 방사선과학교실) ;
  • 손형선 (가톨릭대학교 방사선과학교실) ;
  • 김성훈 (가톨릭대학교 방사선과학교실) ;
  • 정수교 (가톨릭대학교 방사선과학교실) ;
  • 최영진 (가톨릭대학교 병원병리학교실)
  • Published : 2007.08.31

Abstract

A 22-year-old woman with a history of acute lymphoblastic leukemia was hospitalized for headache and vomiting. CT scan showed a well-defined, ring like enhancing mass in the left frontal lobe with surrounding edema and midline shift. Magnetic resonance imaging demonstrated a round homogeneous mass with a ring of enhancement in the left frontal lobe. Tl-201 brain SPECT showed increased focal uptake coinciding with the CT and MRI abnormality. Aspiration of the lesion performed through a burr hole yielded many neutrophils, a few lymphocytes and histiocytes with some strands of filamentous microorganism-like material. Modified AFB stained negative for norcardia. Gram stain showed a few white blood cells and no microorganism. Antibiotics were started and produced a good clinical response. After one month, CT scan showed markedly reduction in size and extent was observed.

Keywords

References

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