case_images: PMC11263950_01
case_images: Magnetic resonance brain imaging of a patient with herpes simplex virus rhombencephalitis. Image set A are T2 sequence images obtained on hospital day 1. Image set B are FLAIR sequences obtained on hospital day 5. Image set C are FLAIR sequences obtained on hospital day 8. Images labeled with "1" are cuts through the hippocampi and images labeled with "2" are cuts through the pons at the infraorbital level.
case_images: gr1.jpg
case_images: PMC11263950_01_gr1.jpg
case_images: fig0005
case_images: MRI brain was repeated which demonstrated new FLAIR hyperintensity and restricted diffusion of left greater than right hippocampi; Previously demonstrated pontine enhancement was overall improved however there was interval increased involvement of the middle cerebellar peduncles and cerebellar flocculus; There were also few new foci of pontine petechial hemorrhage (Fig. 1, B1-2). MRI brain was repeated which demonstrated progressive FLAIR hyperintensity and restricted diffusion in bilateral hippocampi and progressive FLAIR hyperintensity involving the pons, middle cerebral peduncles, and superior medulla (Fig. 1, C1-2).