Magnetic resonance imaging of a brain abscess in a 10-month-old filly

Vet Radiol Ultrasound. 2004 May-Jun;45(3):210-5. doi: 10.1111/j.1740-8261.2004.04035.x.

Abstract

The purpose of this paper was to correlate the magnetic resonance imaging (MRI) characteristics of a mature brain abscess in a horse with histopathologic alterations of brain tissue. Eight months after the onset of clinical signs, MRI of the brain of a 10-month-old filly was performed. A large space-occupying lesion in the right cerebral hemisphere was identified. This space-occupying lesion was delineated by a thick and well-defined capsule that was isointense to brain parenchyma on the T1-weighted images and with a markedly hypointense on the T2-weighted images. The identification of such a capsule is highly diagnostic of a mature brain abscess. The lesion seen on MR images was confirmed at necropsy where a large abscess of the right hemisphere was observed. Streptococcus zooepidemicus and Pseudomonas aeruginosa were isolated from the abscess. Based on histopathologic examination, the signal characteristics of the capsule on T1-weighted and T2-weighted images were found to be due to the presence of numerous hemosiderin-laden macrophages. These results are in agreement with previous studies on human patients. This report confirms the value of MRI in the diagnosis of equine brain diseases.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Animals, Newborn
  • Brain Abscess / diagnosis
  • Brain Abscess / veterinary*
  • Diagnosis, Differential
  • Female
  • Horse Diseases / diagnosis*
  • Horse Diseases / diagnostic imaging
  • Horse Diseases / pathology
  • Horses
  • Magnetic Resonance Imaging / veterinary
  • Pseudomonas Infections / diagnosis
  • Pseudomonas Infections / veterinary*
  • Pseudomonas aeruginosa / isolation & purification
  • Radiography
  • Streptococcal Infections / diagnosis
  • Streptococcal Infections / veterinary*
  • Streptococcus equi / isolation & purification