case_images: PMC10685761_01
case_images: (a and b) axial FLAIR and (c) axial T1 Gadolinium FS sequences of our patient showing no abnormalities or pathologic enhancement.
case_images: 10.1177_2333794X231214084-fig1.jpg
case_images: PMC10685761_01_10.1177_2333794X231214084-fig1.jpg
case_images: fig1-2333794X231214084
case_images: The patient first underwent a brain MRI which turned out to be normal (Figure 1).
case_images: Axial T2 weighted images showing enlargement of the subarachnoid spaces in the right cerebral hemisphere associated to a discreet enlargement of the ipsilateral lateral ventricle in favor of cerebral hemi atrophy.. T2 hypersignal in the right frontal parasagittal area (red arrow).
case_images: 10.1177_2333794X231214084-fig2.jpg
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case_images: The brain MRI then showed right cortical hemiatrophy with T2 and FLAIR hyperintense signal in the right para sagittal frontal area, with no restricted diffusion or post-Gadolinium enhancement (Figures 2 and 3).
case_images: (a) Axial FLAIR, (b) Axial T2, (c) Coronal T2, (d and e) sagittal T1 before and after Gadolinium and diffusion weighted images showing T2 and FLAIR hyperintense signal in the right para sagittal frontal area, with no restricted diffusion or post-Gadolinium enhancement (red arrow).
case_images: 10.1177_2333794X231214084-fig3.jpg
case_images: PMC10685761_01_10.1177_2333794X231214084-fig3.jpg
case_images: fig3-2333794X231214084
case_images: The brain MRI then showed right cortical hemiatrophy with T2 and FLAIR hyperintense signal in the right para sagittal frontal area, with no restricted diffusion or post-Gadolinium enhancement (Figures 2 and 3).
case_images: Axial and coronal T2 weighted images demonstrating atrophy of the right hippocampus (white arrow) with dilatation of the choroidal fissure (blue arrow).
case_images: 10.1177_2333794X231214084-fig4.jpg
case_images: PMC10685761_01_10.1177_2333794X231214084-fig4.jpg
case_images: fig4-2333794X231214084
case_images: At the same time, those findings were associated with atrophy of the right hippocampus with dilatation of the choroidal fissure (Figure 4).