Brain abscess observed by localized proton magnetic resonance spectroscopy

Magn Reson Imaging. 1994;12(8):1269-74. doi: 10.1016/0730-725x(94)90092-6.


We encountered a case of brain abscess that was difficult to differentiate from glioblastoma. Localized 1H-MRS was found to be useful for obtaining information on the biochemical status of brain abscess. The peak of lipid and high residual peak of NAA (N-acetyl-aspartate) were observed in the cystic lesion of the brain abscess by 1H-MRS. The NAA/Cho (Choline-containing compounds) ratio in brain parenchyma showing an edematous lesion before therapy gradually increased with the relief of inflammation.

Publication types

  • Case Reports

MeSH terms

  • Aspartic Acid / analogs & derivatives
  • Aspartic Acid / analysis
  • Brain Abscess / diagnosis*
  • Brain Chemistry
  • Brain Neoplasms / diagnosis
  • Choline / analysis
  • Contrast Media
  • Creatine / analysis
  • Diagnosis, Differential
  • Gadolinium DTPA
  • Humans
  • Magnetic Resonance Spectroscopy*
  • Male
  • Middle Aged
  • Organometallic Compounds
  • Pentetic Acid / analogs & derivatives


  • Contrast Media
  • Organometallic Compounds
  • Aspartic Acid
  • Pentetic Acid
  • N-acetylaspartate
  • Gadolinium DTPA
  • Creatine
  • Choline