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Actinomycotic brain infection: registered diffusion, perfusion MR imaging and MR spectroscopy.

INTRODUCTION: Actinomycotic brain infection is caused by an organism of the Actinomyces genus. We report here one such case.

METHODS: The methods used included coregistered diffusion, perfusion and spectroscopic magnetic resonance (MR) imaging.

RESULTS: Decreased apparent diffusion coefficient, markedly elevated fractional anisotropy (FA) and reduced cerebral blood flow were observed. MR spectroscopy demonstrated elevated amino acids, acetate and succinate.

CONCLUSION: Elevated FA values may be due to the microstructure of this special brain infection.

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