case_images: PMC11249769_01
case_images: Chest computed tomography showing bilateral ground-glass opacities.
case_images: crn-2024-0016-0001-539741_F01.jpg
case_images: PMC11249769_01_crn-2024-0016-0001-539741_F01.jpg
case_images: F1
case_images: Chest computed tomography (Fig. 1) was performed to confirm lung involvement due to COVID-19.
case_images: Brain magnetic resonance imaging showing cortical enhancement in the frontal, parietal, temporal, and occipital areas.
case_images: crn-2024-0016-0001-539741_F02.jpg
case_images: PMC11249769_01_crn-2024-0016-0001-539741_F02.jpg
case_images: F2
case_images: Since patient had orbital swelling and altered sensorium, brain and orbit magnetic resonance imaging (MRI) (Fig. 2) showed substantial bilateral cortical hyperintensity involving the bilateral frontal, temporal, bilateral occipital, and right parietal regions, suggesting the possibility of encephalitis, as well as thickening of the left superior orbital fissure soft tissue.
case_images: Computed tomography of the paranasal sinus showing involvement of the left maxillary and ethmoid sinuses.
case_images: crn-2024-0016-0001-539741_F03.jpg
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case_images: F3
case_images: Hyperintensity and bone erosion were also observed in the left maxillary and ethmoid sinuses (Fig. 3), suggesting invasive fungal sinusitis with cavernous sinus involvement, in addition to encephalitis.
case_images: Follow-up MRI showing improvement in cortical enhancement, which correlates clinically.
case_images: crn-2024-0016-0001-539741_F04.jpg
case_images: PMC11249769_01_crn-2024-0016-0001-539741_F04.jpg
case_images: F4
case_images: Follow-up brain MRI (Fig. 4) showed improvement in cortical enhancement, which correlates clinically.