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MR Imaging Features of Nipah Encephalitis

Sazilah Ahmad Sarji1, Basri Johan Jeet Abdullah1, Khean Jin Goh2, Chong Tin Tan2 and Kum Thong Wong3

1 Department of Radiology, University of Malaya Medical Center, Jalan Universiti, 59100 Kuala Lumpur, Malaysia.
2 Department of Medicine, University of Malaya Medical Center, Jalan Universiti, 59100 Kuala Lumpur, Malaysia.
3 Department of Pathology, University of Malaya Medical Center, Jalan Universiti, 59100 Kuala Lumpur, Malaysia.



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  		Fig. 1. —44-year-old man with acute Nipah encephalitis. Axial fluid attenuated inversion recovery MR image shows multiple discrete lesions in subcortical and deep white matter of cerebrum.

 


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  		Fig. 2. —53-year-old man with acute Nipah encephalitis. Axial fluid attenuated inversion recovery MR image shows disseminated discrete round lesions in white matter.

 


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  		Fig. 3. —26-year-old man with early Nipah encephalitis. Axial fluid attenuated inversion recovery MR image shows subcortical lesion, which appears as strip in early Nipah encephalitis (arrowhead).

 


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  		Fig. 4. —45-year-old patient with acute Nipah encephalitis. Axial fluid attenuated inversion recovery MR image shows lesions in gray matter (arrowheads).

 


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  		Fig. 5A. —40-year-old woman in the later phase of acute Nipah encephalitis. T1-weighted (A) and T2-weighted (B) spin-echo MR images show discrete round lesions with MR signal of old blood products.

 


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  		Fig. 5B. —40-year-old woman in the later phase of acute Nipah encephalitis. T1-weighted (A) and T2-weighted (B) spin-echo MR images show discrete round lesions with MR signal of old blood products.

 


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  		Fig. 6. —40-year-old man with acute Nipah encephalitis. Fluid attenuated inversion recovery MR image shows confluent involvement of temporal lobe (arrowhead).

 


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  		Fig. 7A. —28-year-old man with relapsed Nipah encephalitis. Fluid attenuated inversion recovery MR images through parietal lobes (A) and temporal lobes (B) show confluent cortical involvement.

 


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  		Fig. 7B. —28-year-old man with relapsed Nipah encephalitis. Fluid attenuated inversion recovery MR images through parietal lobes (A) and temporal lobes (B) show confluent cortical involvement.

 


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  		Fig. 8A. —33-year-old man with relapsed Nipah encephalitis. Axial (A) and coronal (B) MR images show distinct feature of confluent gray matter involvement, well seen on fluid attenuated inversion recovery sequence.

 


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  		Fig. 8B. —33-year-old man with relapsed Nipah encephalitis. Axial (A) and coronal (B) MR images show distinct feature of confluent gray matter involvement, well seen on fluid attenuated inversion recovery sequence.

 


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  		Fig. 9A. —31-year-old woman with late-onset Nipah encephalitis. Axial (A) and coronal (B) fluid attenuated MR images show confluent cortical involvement, similar to that seen in patient with relapsed Nipah encephalitis, in right frontal lobe.

 


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  		Fig. 9B. —31-year-old woman with late-onset Nipah encephalitis. Axial (A) and coronal (B) fluid attenuated MR images show confluent cortical involvement, similar to that seen in patient with relapsed Nipah encephalitis, in right frontal lobe.

 

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