Rhombencephalitidis is a serious form of brainstem inflammation, diffi
cult to diagnose on the basis of clinical and laboratory findings alon
e. We describe the MR appearance of 3 cases of Listeria monocytogenes
rhombencephalitidis and correlate the findings with clinical informati
on. MR imaging is crucial for early diagnosis of this illness: patchy
signal hyperintensity throughout the medulla and cerebellar peduncles
on T2 weighted images, always in association with a hypointense dot; n
umerous gadolinium-enhanced microabcesses in the rhombencephalon. MR i
maging is very useful for follow-up examinations.