case_images: PMC10962393_01
case_images: Timeline of the patient's disease and treatment course. ER, emergency room; ADEM, acute disseminated encephalomyelitis; PDS, prednisolone; IVIg, intravenous immunoglobulin; HLH, hemophagocytic lymphohistiocytosis.
case_images: fneur-15-1363072-g001.jpg
case_images: PMC10962393_01_fneur-15-1363072-g001.jpg
case_images: fig1
case_images: A 58-year-old female patient presented to the hospital with the chief complaints of aphasia and cognitive decline that began 2 weeks prior to presentation (Figure 1).
case_images: Brain magnetic resonance images. (A,B) Axial T2-weighted and (C,D) axial fluid-attenuated inversion recovery images revealed high-signal intensity lesions (yellow arrow) in the bilateral subcortical white matter and the right periventricular area. (E,F) Axial susceptibility-weighted images and (G,H) axial T1-weighted images showed low-signal intensity lesions (yellow arrowhead) in the same area.
case_images: fneur-15-1363072-g002.jpg
case_images: PMC10962393_01_fneur-15-1363072-g002.jpg
case_images: fig2
case_images: Susceptibility-weighted imaging (SWI) revealed hypointensity in the same lesion area, and diffusion restriction was also observed on diffusion-weighted imaging, although without contrast enhancement (Figure 2).