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The diagnosis of [[fungal meningitis]] mainly relies on the results of the [[cerebrospinal fluid]] (CSF) analysis, stain and culture. The role of imaging is to rule out other differential diagnosis of the initial presentation. In addition, brain imaging must be done when the patient has signs of increased [[intracranial pressure]] to prevent brain herniation.
The diagnosis of [[fungal meningitis]] mainly relies on the results of the [[cerebrospinal fluid]] (CSF) analysis, stain and culture. The role of imaging is to rule out other differential diagnosis of the initial presentation. In addition, brain imaging must be done when the patient has signs of increased [[intracranial pressure]] to prevent brain herniation.


==CT scan==
==MRI scan==
*CT studies of the brain and [[spinal cord]] may help in ruling out other medical conditions that might have a similar presentation to [[fungal meningitis]].
 
*[[CT scan]] is done to rule out tumors or para-meningeal infections ([[brain abscess]])
*Contrast-enhanced MRI of the brain and [[spinal cord]] may help in ruling out other medical conditions that might have a similar presentation to [[fungal meningitis]].
*[[CT scan]] must be done prior to a lumbar puncture in patients with signs of increased [[intracranial pressure]] in order to prevent brain herniation.<ref>Koroshetz WJ. Chapter 382. Chronic and Recurrent Meningitis. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J,  eds. Harrison's Principles of Internal Medicine. 18th ed. New York: McGraw-Hill; 2012.</ref>
*[[MRI]] can detect meningeal enhancement, tumors and para-meningeal infections ([[brain abscess]]).<ref>Koroshetz WJ. Chapter 382. Chronic and Recurrent Meningitis. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J,  eds. Harrison's Principles of Internal Medicine. 18th ed. New York: McGraw-Hill; 2012.</ref>
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 18:09, 10 February 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby; Prince Tano Djan, BSc, MBChB [2]

Overview

The diagnosis of fungal meningitis mainly relies on the results of the cerebrospinal fluid (CSF) analysis, stain and culture. The role of imaging is to rule out other differential diagnosis of the initial presentation. In addition, brain imaging must be done when the patient has signs of increased intracranial pressure to prevent brain herniation.

MRI scan

  • Contrast-enhanced MRI of the brain and spinal cord may help in ruling out other medical conditions that might have a similar presentation to fungal meningitis.
  • MRI can detect meningeal enhancement, tumors and para-meningeal infections (brain abscess).[1]

References

  1. Koroshetz WJ. Chapter 382. Chronic and Recurrent Meningitis. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison's Principles of Internal Medicine. 18th ed. New York: McGraw-Hill; 2012.

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