case_images: PMC10246339_01
case_images: (a and b) Preoperative computed tomography brain shows massive cerebral edema with midline shift. b
case_images: SNI-14-176-g001.jpg
case_images: PMC10246339_01_SNI-14-176-g001.jpg
case_images: F1
case_images: CT brain is shown in Figure 1.
case_images: (a-c) Magnetic resonance imaging (MRI) fluid-attenuated inversion recovery, T2MRI, diffusion-weighted imaging MRI, brain showing diffuse scattered patchy hyperintensities affecting mainly the right temporal and parietal lobes, and left hippocampus. RPH: Relative peak height, RPF: Relative peak flow.
case_images: SNI-14-176-g002.jpg
case_images: PMC10246339_01_SNI-14-176-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) with contrast is requested urgently Figure 2.
case_images: (a and b) Diffuse demyelination of the cortical white matter with abundant mononuclear inflammatory cells most of them are lymphocytes with reactive pink gliosis. (c) CD68/SRD1 staining is positive showing monocytes and macrophages distribution in the perivascular areas.
case_images: SNI-14-176-g004.jpg
case_images: PMC10246339_01_SNI-14-176-g004.jpg
case_images: F4
case_images: Histological features are characteristic of ADEM, as shown in Figure 4.