case_images: PMC10838545_01
case_images: Diffusion-weighted T2 MRI showing infarct. The arrow in this MRI scan points to an acute to subacute lacunar infarction in the right head of the caudate nucleus. The radiologist noted no acute processes that could explain the patient's encephalopathy.
case_images: cureus-0016-00000051699-i01.jpg
case_images: PMC10838545_01_cureus-0016-00000051699-i01.jpg
case_images: FIG1
case_images: An MRI of the brain was done to evaluate for an acute cause, which later came back with acute to subacute lacunar infarction in the right head of the caudate nucleus (shown in Figure 1); however, her symptoms were less likely due to stroke and raised a higher suspicion of lupus cerebritis.