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RT Journal Article
SR Electronic
T1 Unpacking the CNS Manifestations of Epstein-Barr Virus: An Imaging Perspective
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1002
OP 1008
DO 10.3174/ajnr.A7945
VO 44
IS 9
A1 Soni, N.
A1 Ora, M.
A1 Singh, R.
A1 Mehta, P.
A1 Agarwal, A.
A1 Bathla, G.
YR 2023
UL http://www.ajnr.org/content/44/9/1002.abstract
AB SUMMARY: Epstein-Barr virus is a ubiquitous herpesvirus that may cause both infective (encephalitis, meningitis, and so forth) and postinfection inflammatory (such as Guillain-Barré syndrome, acute disseminated encephalomyelitis) manifestations in the CNS. Diagnosis of Epstein-Barr virus–related CNS pathologies is often complicated due to a nonspecific clinical presentation and overlap with other infectious and noninfectious causes, both clinically and on imaging. The Epstein-Barr virus is also implicated in several lymphoproliferative disorders in both immunocompromised and immunocompetent hosts. MR imaging is preferred for evaluating the extent of involvement and monitoring therapy response, given its high sensitivity and specificity, though imaging findings may be nonspecific. Herein, we review the imaging spectrum of Epstein-Barr virus–associated CNS disorders.ADEMacute disseminated encephalomyelitisATMacute transverse myelitisEBVEpstein-Barr virusEBNAEpstein-Barr nuclear antigenIgimmunoglobulinLGlymphomatoid granulomatosisLPDlymphoproliferative disorderMOGmyelin oligodendrocyte glycoproteinPCNSLprimary CNS lymphomaPCRpolymerase chain reactionPTLDposttransplant lymphoproliferative disorderSMTsmooth-muscle tumor