Neuroimaging as a guide to predict outcomes for patients with coccidioidal meningitis.
case_control · Level III
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Abstract
Sixty-two patients with coccidioidal meningitis underwent neuroimaging. Magnetic resonance imaging detected neuroimaging abnormalities in 76% of patients, and computed tomography scanning detected neuroimaging abnormalities in 41.6%. The most common abnormal neuroimaging findings were hydrocephalus (51.6%), basilar meningitis (46.8%), and cerebral infarction (38.7%). Significantly elevated mortality rates were associated with hydrocephalus and hydrocephalus coexisting with infarction. Basilar meningitis did not influence outcome. Patients without neuroimaging abnormalities had a mortality rate of 7.7%.
Medical subject headings
- Coccidioidomycosis
- Magnetic Resonance Imaging
- Meningitis, Fungal
- Tomography, X-Ray Computed