Page 119 - TBE_Book_V2_2019

Chapter 5: TBE in adults

Figure 3: Evaluating pleocytosis in TBE (early)

First evaluation of pleocytosis in TBE. The cell preparations cerebrospinal fluid of patients with TBE observed
a plurality of cells. In all microscopic views there are cells that occur singly or in small clusters, neutrophils
with different numbers of lobes nuclear and clearly visible large monocytes. (1 x 100; 1 x 400; 1 x 400.)

Figure 4: Evaluating pleocytosis in TBE (later)

During recovery, after acute phase, control LP. x 100, single lymphocytes, some monocytes, lack of granulocytes x 200 x 400.

Figure 5: MRI visualization of Figure 6: Further visualization of TBE-
TBE-related abnormalities related abnormalities

A B A B

C D C D
Axial (A) and coronal (B) T2-weighted MRI Axial FLAIR images. There is abnormal signal
images show high signal intensity in the intensity in the left frontal (A) and left parietal
basal ganglia and thalami. The second scans lobe (B) and confluent, poorly visible abnormal
(C, D) obtained several months later, show bilateral hyperintensity in the periventricular
partial resolution of the lesions. Patient with white matter (C) and in the centrum semiovale
chorea presentation. (D). Parkinsonism as residual sequelae.

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