| georgia 2005-06-29, 5:50 pm |
| Neurosurg. 2005 May;102(5):927-9. Related Articles, Links
Fluorine-18-labeled fluorodeoxyglucose-positron emission tomography
studies
of acute brainstem lyme neuroborreliosis. Case report.
Plotkin M, Hautzel H, Krause BJ, Mohr S, Langen KJ, Muller HW.
Department of Radiology, Nuclear Medicine and Radiooncology, Campus
Virchow-Klinikum, university Hospital Charite, Berlin, Germany.
michail.plotkin@charite.de
The authors report on a patient suffering from acute Lyme borreliosis
who
underwent two consecutive [18F]fluorodeoxyglucose-positron emission
tomography
(FDG-PET) studies demonstrating the course of the disease. The first
FDG-PET
study revealed markedly increased glucose metabolism in the brainstem,
matching
exactly the signal abnormalities exhibited on magnetic resonance images
and
indicating a brainstem tumor. A second PET scan demonstrated no
abnormality in
this region, thus reflecting clinical remission following antibiotic
therapy.
Data in the present case indicate that hypermetabolic findings on
FDG-PET
studies in the brainstem region should be regarded with caution and
that
neuroborreliosis must be considered as a possible differential
diagnosis.
PMID: 15926723 [PubMed - in process]
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