case_images: PMC5964125_01
case_images: Isotropic 3D Fluid Attenuated Inversion Recovery sequence (TR: 500 ms; TE: 335 ms; and TI: 1,800 ms) with axial (A,D), coronal (B,E), and sagittal (C,F) reconstructed images. There are multifocal nodular hyperintense lesions scattered throughout the deep and subcortical white matter of both cerebral hemispheres. There were no areas of diffusion restriction on the diffusion-weighted images (G), nor was there any evidence of microbleeds on the gradient echo T2* images (H). Finally, there was no enhancement after administration of a gadolinium-based contrast agent (I).
case_images: fneur-09-00336-g001.jpg
case_images: PMC5964125_01_fneur-09-00336-g001.jpg
case_images: F1
case_images: Repeat brain MRI scan confirmed the presence of multifocal punctate to patchy white matter lesions (Figure 1), mostly in a subcortical distribution.
case_images: PMC5964125_02