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MRI findings in mesenrhombencephalitis due to Listeria monocytogenes

¹ Department of Neurology, Central Hospital Bremerhaven, Germany
² Department of Radiology, Central Hospital Bremerhaven, Germany
³ Department of Neurology, Central Hospital Bremerhaven, Germany

Correspondence to:
Correspondence to:
Dr M Mrowka, Dept of Neurology, Central Hospital Reinkenheide, Postbrookstr. 103, DE-27574 Bremerhaven, Germany;
Matthias.Mrowka@zkr.de

Keywords: encephalitis; magnetic resonance imaging; Listeria; brainstem; cranial nerve palsy

The first 150 words of the full text of this article appear below.

A 53 year old woman was admitted as an emergency case with a two day history of fever, malaise, and vomiting, as well as bifrontal headache. At the time of admission, she felt numbness on the right side of her face and she had an unsteady gait. She did not have a significant past medical history and was not immunocompromised.

The neurological examination showed asymmetrical cranial nerve palsies with Bell's paralysis, a one and a half syndrome of the left side (a gaze palsy when looking towards the side of the lesion and internuclear ophthalmoplegia on looking away from the lesion) and a palate palsy on the right side. Moreover, she had a mild hemiparesis on the right side with a dysmetric finger nose test and a hypoaesthesia of the right side of the face. The lumbar puncture showed 1335 white blood cells per mm³ with 63% of lymphocytes and . . . [Full text of this article]