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Brain Abscess Uptake at TI-201 Brain SPECT  

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)
Publication Information
Nuclear Medicine and Molecular Imaging / v.41, no.4, 2007 , pp. 339-341 More about this Journal
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
TI-201; MRI; MRS; brain abscess;
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