Neuromeliodosis: management

Evidence-based neurology checklist on neuromeliodosis: management: Magnetic resonance imaging (MRI) features Abscesses: these are ring enhancing Transverse myelitis Longitudinally extensive transverse myelitis (LETM) Subdural empyema Subgaleal abscess Spinal epidural abscess Spinal intramedullary…

Magnetic resonance imaging (MRI) features

  • Abscesses: these are ring enhancing
  • Transverse myelitis
  • Longitudinally extensive transverse myelitis (LETM)
  • Subdural empyema
  • Subgaleal abscess
  • Spinal epidural abscess
  • Spinal intramedullary abscess
  • Osteomyelitis: skull and vertebral
  • Cerebral vein thrombosis (CVT)
  • Meningitis: FLAIR hyperintensity and enhancement along the sulci

Other investigations

Treatment

References

  1. Hsu CC, Singh D, Kwan G, Deuble M, Aquilina C, Korah I, Norton R. Neuromelioidosis: craniospinal MRI findings in burkholderia pseudomallei infection. J Neuroimaging 2016; 26:75-82.
  2. Peh WM, Hean GG, Clement YHR. The tunnel sign revisited: a novel observation of cerebral melioidosis mimicking sparganosis. J Radiol Case Rep 2018; 12:1-11. 
  3. Agarwal A, Garg D, Priyanka Y, Garg A, Srivastava AK. Tunnel sign of neuromelioidosis. Pract Neurol 2023; 23:352-353.
  4. Nandasiri S, Wimalaratna H, Manjula M, Corea E. Transverse myelitis secondary to melioidosis: a case report. BMC Infect Dis 2012; 12:232. 
  5. Saravu K, Kadavigere R, Shastry AB, Pai R, Mukhopadhyay C. Neurologic melioidosis presented as encephalomyelitis and subdural collection in two male labourers in India. J Infect Dev Ctries 2015; 9:1289-1293.
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