Radiology Case Reports (Oct 2023)

Imaging features of fulminant cerebral malaria: A case report

  • Ahmed El Beltagi,
  • Ahmed Elsotouhy,
  • Akram Al-warqi, MD,
  • Loai Aker, MD,
  • Mayada Ahmed

Journal volume & issue
Vol. 18, no. 10
pp. 3642 – 3647

Abstract

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Cerebral malaria is associated with high mortality and morbidity in patients infected with Plasmodium Falciparum. The mechanisms of cerebral malaria include sequestration of parasitized red blood cells in brain capillaries, production of cytokines, immune cell/platelet accumulation, and release of microparticles, resulting in disruption of the blood-brain barrier, which caused brain injuries. The severity of this reflects on neurological findings ranging from simple delirium to profound coma. We herein present unique magnetic resonance imaging findings of a case of fulminant cerebral malaria as computed tomography studies usually underestimate the extent of cerebral involvement in malaria.

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