case_images: PMC6307248_01
case_images: Timetable
case_images: 12907_2018_83_Fig1_HTML.jpg
case_images: PMC6307248_01_12907_2018_83_Fig1_HTML.jpg
case_images: Fig1
case_images: At first, a Cerebrovascular accident (CVA) was suspected, so treatment with carbasalate calcium 80 mg once a day was started, see timeline (Fig. 1).
case_images: MRI cerebrum Fluid Attenuated Inversion Recovery (FLAIR), diffuse white matter lesions with extension into the pons and medulla oblongata
case_images: 12907_2018_83_Fig2_HTML.jpg
case_images: PMC6307248_01_12907_2018_83_Fig2_HTML.jpg
case_images: Fig2
case_images: However diffuse white matter lesions around the fourth ventricle with extension into the pons and medulla oblongata were seen (Fig. 2).
case_images: MRI cerebrum (T1), diffuse hyperintensity and swelling, with enhanced ring shaped areas
case_images: 12907_2018_83_Fig3_HTML.jpg
case_images: PMC6307248_01_12907_2018_83_Fig3_HTML.jpg
case_images: Fig3
case_images: A new MRI showed diffuse hyperintensity and swelling of the basal ganglia, with enhanced ring-shaped areas that indicate necrosis (Fig. 3).
case_images: Microscopic findings. Hematoxylin - Eosin coloring, magnification 200x, showing mixed nuclear inflammatory infiltrates as sign of vasculitis of the entire brain with concomitant vascular destruction and trombosis
case_images: 12907_2018_83_Fig4_HTML.jpg
case_images: PMC6307248_01_12907_2018_83_Fig4_HTML.jpg
case_images: Fig4
case_images: There were signs of vasculitis in almost the entire brain, with complete destruction of the vessels in the basal ganglia (Fig. 4).
case_images: Macroscopic, active vasculitis with diffuse hemorrhagic infarction from the midbrain into the cerebellum
case_images: 12907_2018_83_Fig5_HTML.jpg
case_images: PMC6307248_01_12907_2018_83_Fig5_HTML.jpg
case_images: Fig5
case_images: Also the midbrain showed active vasculitis with diffuse hemorrhagic infarction (Fig. 5).