case_images: PMC3970369_01
case_images: The patient with dysconjugate eye position.
case_images: CRINM2014-673230.001.jpg
case_images: PMC3970369_01_CRINM2014-673230.001.jpg
case_images: fig1
case_images: Yet, his gaze in the midline was dysconjugate with abduction weakness present bilaterally (Figure 1).
case_images: CT on admission. The white arrows show the hypodensities seen medial in the thalamus bilaterally.
case_images: CRINM2014-673230.002.jpg
case_images: PMC3970369_01_CRINM2014-673230.002.jpg
case_images: fig2
case_images: Due to the acute onset of dysarthria and oculomotor pathologies an urgent cerebral CT was performed revealing hypodense changes in the thalamus bilaterally (Figure 2).
case_images: CT perfusion on admission. Time-to-peak map (TTP, (a)) showing reduced time-to- peak and cerebral blood flow map (CBF, (b)) and cerebral blood volume map (CBV, (c)) showing increased relative cerebral blood flow and relative cerebral blood volume in thalamus bilaterally.
case_images: CRINM2014-673230.003.jpg
case_images: PMC3970369_01_CRINM2014-673230.003.jpg
case_images: fig3
case_images: A subsequent CT perfusion scan (CTP) revealed hyperperfusion in the same areas (Figure 3) whereas CT angiography of the posterior circulation vessels did not show any abnormalities.
case_images: MR at day 3 showing hyperintense changes in both thalami adjacent to the third ventricle on FLAIR series (a) and Gd-enhancement in the thalami (b) and in the mammillary bodies (c).
case_images: CRINM2014-673230.004.jpg
case_images: PMC3970369_01_CRINM2014-673230.004.jpg
case_images: fig4
case_images: These lesions exhibited slight gadolinium (Gd) contrast enhancement as did both mammillary bodies (Figure 4).