Nucl Med Mol Imaging.  2007 Aug;41(4):339-341.

Brain Abscess Uptake at Tl-201 Brain SPECT

• Lee WH
• Han EJ
• Yoo IR
• Chung YA
• Sohn HS
• Kim SH
• Chung SK
• Choi YJ

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.

Keyword

Tl-201; MRI; MRS; brain abscess

MeSH Terms

Anti-Bacterial Agents
Brain Abscess*
Brain*
Edema
Female
Frontal Lobe
Headache
Histiocytes
Humans
Leukocytes
Lymphocytes
Magnetic Resonance Imaging
Neutrophils
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Tomography, Emission-Computed, Single-Photon*
Tomography, X-Ray Computed
Vomiting
Young Adult
Anti-Bacterial Agents