Cerebral imaging in XXXX : A clinical study.

@entity1 @entity548 @entity75 @entity16 @entity439 @entity299 @entity166 @entity884
BACKGROUND: Because @entity16 is the most frequent @entity299 in @entity166 ( @entity166 ), a brain computerised tomography (CT) scan is usually performed. The benefits of magnetic resonance imaging (MRI) have not been clearly established. This study aims to clarify the prevalence and type of @entity75 in @entity166 detected using MRI and to compare them with those detected using CT scans. METHODS: In the Grenoble University Hospital, @entity1 diagnosed with definite or possible @entity884 according to Duke's criteria were screened from 2010-2012. Brain CT and MRI were performed as soon as possible after diagnosis. RESULTS: Of the 62 @entity1 with @entity166 who underwent at least one cerebral imaging within 3 weeks of diagnosis, Streptococcus (29) and Staphylococcus (14) were the main micro-organisms present. Twenty-eight (45%) @entity1 underwent cardiac surgery. Eight (13%) died before discharge. Twenty (32%) had @entity16 . A brain CT-scan was performed on 53 (85%) @entity1 and a MRI was performed on 43 (69%) @entity1 . CT was pathological in 26 (49%) @entity1 , whereas 32 (74%) MRI demonstrated abnormalities. The MRI lesions were classified as follows: ischaemia (48%), microbleeds (34%), @entity548 (16%), abscesses (9%) and microbial @entity439 (4%). Of the 37 @entity1 who underwent both MRI and CT examinations, ischaemia (48% vs 35%) and microbleeds (34%) demonstrated the difference between the two imaging methods. CONCLUSION: Through the early diagnosis of @entity75 , even in asymptomatic cases, MRI may have a role in the @entity166 management, influence any surgical decision and assist in prognosis assessment.
