case_images: PMC9125049_01
case_images: Diffusion-weighted imaging (DWI), with extensive restricted diffusion in cortex, including cingulate and insular cortices (yellow arrows) typically seen with elevate ammonia levels.
case_images: 10.1177_23247096221101855-fig1.jpg
case_images: PMC9125049_01_10.1177_23247096221101855-fig1.jpg
case_images: fig1-23247096221101855
case_images: Brain magnetic resonance imaging (MRI) showed diffuse gyriform restricted diffusion throughout the cerebral hemispheres and insula bilaterally, which is seen typically with elevated ammonia levels (Figure 1).