The Tunnel Sign Revisited: A Novel Observation of Cerebral Melioidosis Mimicking Sparganosis

Authors

  • Wee Ming Peh
  • Giap Hean Goh
  • Hsiang Rong Clement Yong

DOI:

https://doi.org/10.3941/jrcr.v12i8.3441

Keywords:

Tunnel Sign, Cerebral, Melioidosis, Sparganosis, Listeria, MRI

Abstract

The tunnel sign has been described as a specific feature of cerebral sparganosis. We present a case of a 55-year-old gentleman found to have cerebral melioidosis and with initial imaging mimicking the appearance of sparganosis. This suggests that the tunnel sign in brain abscesses may be specific for infection by Burkholderia Pseudomallei, Spirometra Mansoni or Listeria Monocytogenes.

Author Biographies

Wee Ming Peh

Senior Resident

Department of Diagnostic Imaging

National University Hospital

5 Lower Kent Ridge Road

Singapore 119074

Giap Hean Goh

Consultant

Department of Pathology

National University Hospital

5 Lower Kent Ridge Road

Singapore 119074

Hsiang Rong Clement Yong

Consultant

Department of Diagnostic Imaging

National University Hospital

5 Lower Kent Ridge Road

Singapore 119074

Published

2018-08-28

Issue

Section

Neuroradiology