Inflammatory Diseases of the Brain
This book provides a comprehensive overview of inflammatory brain diseases from a neuroradiological point of view. Such diseases may be either infectious (e.g., viral encephalitis and pyogenic brain abscess) or non-infectious (e.g., multiple sclerosis), a
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Diagnostic Imaging Editors: A. L. Baert, Leuven M. Knauth, Göttingen
S. Hähnel (Ed.)
Inflammatory Diseases of the Brain With Contributions by M. Bendszus ∙ B. Ertl-Wagner ∙ J. Fiehler ∙ S. Hähnel ∙ C. Jacobi ∙ T. Kollmann B. Kress ∙ M. Lettau ∙ S. Rohde ∙ A. Seitz ∙ J. Spreer ∙ C. Stippich ∙ B. Storch-Hagenlocher H. Tschampa ∙ H. Urbach ∙ B. Wildemann ∙ M. Wengenroth ∙ A. Wetter ∙ S. G. Wetzel
Foreword by M. Knauth
123
Stefan Hähnel, MD
Division of Neuroradiology University of Heidelberg Medical Center Im Neuenheimer Feld 400 69120 Heidelberg Germany
MEDICAL RADIOLOGY ∙ Diagnostic Imaging and Radiation Oncology Series Editors: A.L. Baert ∙ L.W. Brady ∙ H.-P. Heilmann ∙ M. Knauth ∙ M. Molls ∙ C. Nieder Continuation of Handbuch der medizinischen Radiologie Encyclopedia of Medical Radiology
ISBN 978-3-540-76659-9 e-ISBN 978-3-540-76660-5 DOI 10.1007/978-3-540-76660-5 Library of Congress Control Number: 2008936511 © 2009 Springer-Verlag Berlin Heidelberg This work is subject to copyright. All rights are reserved, wether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broad-casting, reproduction on microfilm or any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in it current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registed names, trademarks etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: the publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Verlagsservice Teichmann, Mauer, Germany Production, reproduction and typesetting: le-tex publishing services oHG, Leipzig, Germany Printed on acid-free paper 987654321 springer.com
Dedication
For Claudia, Theresa, and Paulina. And for my parents.
Foreword
Inflammatory diseases of the brain are caused by many different etiologies and come in various disguises; sometimes the diagnosis is straightforward, most of the time it is not. In fact, the diagnosis and differential diagnosis of inflammatory diseases of the brain often are very confusing. There is a wide variety of causative agents and inflammatory pathways ranging from bacteria, fungi, parasites, viruses, prions, and toxins to autoimmune diseases. Inflammatory diseases of the brain can mimic many other intracranial pathoentities, e.g., they can be tumefactive, disguised as meningiosis or intracranial hypotension, and sometimes can even be difficult to separate from infarctions, let alone telling them apart from each o
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