case_images: PMC10890805_01
case_images: MRI findings at admission (a-c) and follow-up (d). a Sagittal T2-weighted image shows longitudinally extensive increased signal intensity and moderate swelling of the cervical spinal cord (arrows). b Axial T2 FLAIR-weighted image shows increased signal intensity of the dorsal pons (arrows). c Axial gradient-recalled echo (GRE) T2-weighted image at the level of C4 demonstrates ill-defined increased signal intensity of entire central gray matter with sparing of peripheral white matter (arrows). d MRI of the spinal cord after 4 days treatment shows near-complete regression of signal abnormalities (arrows).
case_images: crn-2024-0016-0001-535316_F01.jpg
case_images: PMC10890805_01_crn-2024-0016-0001-535316_F01.jpg
case_images: F1
case_images: T2 signal intensity of the central gray matter of the cervical cord extending from C2 to C7, along with involvement of the posterior brainstem (Fig. 1). This peculiar At 4 days, repeated medullary MRI showed a clear regression of the lesions (Fig. 1), and cerebrospinal pleocytosis decreased (41 white-blood cells/mm3 including 97% lymphocytes).