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Magnetic resonance imaging in rabies

¹ Department of Neurology, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad, India
² Department of Pathology

Correspondence to:
Correspondence to:
Assistant Professor Jayanthi Mani, Panch Mahal, 3rd floor, 546 Renuka Enclave, Raj Bhavan Road, Somajiguda, Hyderabad 500082, India;
jmani{at}satyam.net.in

ABSTRACT
Rabies encephalitis has a classical clinical presentation and its diagnosis is unmistakable. In about a fifth of cases rabies occurs as its paralytic form, which lacks the classic symptoms and may mimic other diseases, especially acute disseminated encephalomyelitis (ADEM). Magnetic resonance imaging of the brain in rabies shows a distinct abnormal pattern that differentiates it from ADEM. Hence it may be a useful tool in diagnosis of paralytic rabies. Failure to administer post-exposure rabies immunoglobulin along with the rabies vaccine may result in vaccine failure.

Keywords: magnetic resonance imaging; rabies

Abbreviations: ADEM, acute disseminated encephalomyelitis; FLAIR, fluid attenuation inversion recovery (image)

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