case_images: PMC4217759_01
case_images: MRI on initial relapse reveals a new lesion in the subcortical white matter of the right parietal lobe with high signal on the FLAIR sequence (arrows, a) and mild contrast enhancement (arrow, b).
case_images: jocmr-07-065-g001.jpg
case_images: PMC4217759_01_jocmr-07-065-g001.jpg
case_images: F1
case_images: MRI showed a new area of abnormal signal intensity in the subcortical white matter of the right parietal lobe with mild peripheral enhancement (Fig. 1a, b).
case_images: MRI 2 months after demonstrating a resolution of the lesion of the right parietal lobe (a) and absence of gadolinium enhancement (b).
case_images: jocmr-07-065-g002.jpg
case_images: PMC4217759_01_jocmr-07-065-g002.jpg
case_images: F2
case_images: The patient received IV corticosteroids for 5 days and then monthly for 2 months with subsequent clinical and MRI improvement (Fig. 2a, b).
case_images: On month 4, MRI demonstrates a new 2-cm lesion in the left cerebellar hemisphere with high signal on FLAIR (arrow, a) and a speckled pattern of contrast enhancement on the post-gadolinium image (arrow, b).
case_images: jocmr-07-065-g003.jpg
case_images: PMC4217759_01_jocmr-07-065-g003.jpg
case_images: F3
case_images: In post-contrast images, the cerebellar lesion showed enhancement with a speckled pattern, consisting of multiple coalescing punctate foci (Fig. 3a, b).
case_images: On a follow-up MRI scan 12 months after the initial relapse, FLAIR images reveal complete resolution of the signal abnormalities in the left cerebellar hemisphere (a) and in the right parietal lobe (b).
case_images: jocmr-07-065-g004.jpg
case_images: PMC4217759_01_jocmr-07-065-g004.jpg
case_images: F4
case_images: On month 6, 8, 10 and 12 follow-up, the patient showed clinical and MRI improvement (Fig. 4a, b) but still remained under monthly IV corticosteroid treatment.