Ring-enhancing lesions in neonatal meningitis: an analysis of neuroradiology pitfalls through exemplificative cases and a review of the literature

Quant Imaging Med Surg. 2018 Apr;8(3):333-341. doi: 10.21037/qims.2018.01.04.

Abstract

Very often the clinical course of neonatal meningitis (NM) is characterized by sudden worsening, at times associated with cerebrovascular complications and strokes or the formation of cerebral abscesses. The immediate recognition of these pathological patterns is pivotal in providing clinicians with useful information to differentiate between those different pathological entities, which may both present as ring-enhancing lesions on neuroradiology investigations. Understanding their natural history and diagnostic features is of paramount importance to timely adopt the most appropriate medical and surgical management.

Keywords: Neonatal meningitis (NM); brain abscess; intracerebral hematoma; magnetic resonance imaging (MRI); neurointensive care unit; pediatric neurosurgery; ring-enhancing lesion; stereotactic brain surgery.