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Typical (Left) Axial T2WI MR shows a heterogeneous lesion in the right frontal lobe with mass effect and surrounding edema in this patient from East Asia. Note the hypointense rim (arrow) typical of Paragonimiasis. Lesion mimics a neoplasm. Chronically, calcifications and atrophy will heart skipped heart beat. Wong AM et al: Magnetic resonance imaging of carotid artery abnormalities in patients with sphenoid sinusitis. Revanku SG et al: Primary central nervous system phaeohyphomycosis: a review of 101 cases.

Clin Infect Dis 38:206-16,2004 3. Komatsu H et al: Molecular diagnosis of sealant dental aspergillosis by sequence analysis with panfungal polymerase woman s orgasm reaction.

Brant ME et al: Epidemiology, clinical manifestations, and therapy of infections caused by dematiaceous fungi. Schelenz S et Polysaccharide-Iron Complex Capsules (Niferex-150)- FDA Candidemia in a London teaching hospital: analysis of 128 cases over a I-year period.

Mycoses 46:390-6, 2003 6. Bradsher RW heart skipped heart beat al: Blastomycosis. Infect Dis Clin N Am 17: 21-40,2003 7. Chowfin A et Amiodarone HCl Tablets (Cordarone)- FDA Recurrent blastomycosis of the central nervous system: case report and review. Clin Infect Dis 30: 969-71, 2000 8.

Erly WK et al: Disseminated coccidioidomycosis complicated by vasculitis: a cause of fatal subarachnoid hemorrhage in two cases. Lai PH et al: Disseminated miliary cerebral candidiasis. Desai SP et al: Disseminated CNS histoplasmosis. Typical (Left) Axial FLAIRMR shows high signal intensity in the basal ganglia, right greater than left.

Infection and Demyelinating Disease 61 Axial OWl MR shows tiny white matter infarcts in the left hemisphere in a patient with Rocky Mountain spotted fever. Singh-Behl D et al.

Dermatologic Clinics 21: 237-44, 2003 Walker DH et al: Pathogenic mechanisms of diseases caused by Rickettsia. Ann N Y Acad Sci 990: 1-11,2003 Warner RD et al: Rocky mountain spotted fever.

JAVMA 221: 1413-17, 2002 Bonawitz C et al: Comparison of CT and MR features with clinical outcome in patients with Rocky Mountain Spotted fever. AJNR 18: 459-64, 1997 Baganz MD et al: Rocky Mountain Spotted fever encephalitis: MR findings. RMS often involves both brain, spine.

REFERENCES Ustymowicz A et a1: Proton MR spectroscopy in neuroborreliosis: a preliminary study. Ventricles are slightly enlarged. AJNR25:195-200, 2004 Graham CB et al: Screening CT of the brain determined by CD4 count in HIV-positive patients presenting with headache. AmJ Neuroradio121:451-54, 2000 Infection and Demyelinating Disease Typical (Left) Axial T2WI MR shows cortical atrophy, periventricular white matter hyperintensities and dilated ventricles.

White matter abnormalities are less conspicuous on this image. Typical (Left) Axial FLAIR MR in the same heart skipped heart beat as above shows marked cortical atrophy (dilated sulci and Sylvian fissures), periventricular white matter hyperintensities and enlarged ventricles.

Mild cortical atrophy also observed. Basal ganglia location is typical. Collazos J: Opportunistic infections of the CNS in patients with AIDS: diagnosis and doses. CNS Drugs 17:869-87,2003 Infection and Demyelinating Disease Typical (Left) Coronal heart skipped heart beat shows gelatinous pseudocysts due to cryptococcus extending within the perivascular spaces adjacent to small perforating arteries.

Typical (Left) Axial TlWI MR shows hypointense lesion infiltrating through white matter. On contrast-enhanced images (not shown), heart skipped heart beat lesion did not enhance, typical for PML. Note heart skipped heart beat absence of mass effect. Note adjacent bright signal (increased diffusibility) within edema.

Note perpendicular orientation at callososeptal interface along penetrating venules. Sagittal FLAIR MR shows MS heart skipped heart beat with typical perpendicular orientation at callososeptal interface along penetrating venules ("Dawson fingers") as well as involving subcortical WM. Topics in Magnetic Resonance Imaging 12(6):435-452, 2001 Woodward K et al: CNS myelination and PLP gene dosage. Curr Opin Neurol Neurosurg.

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