case_images: PMC6206551_01
case_images: MRI brain examination of a 48-year-old male with meningoencephalitis, vasculitis, and extradural fluid collection. Axial DWI (A) and ADC (B) images show acute left thalamic (white arrow) and tiny right basal ganglia lacunar infarcts secondary to vasculitis. Axial FLAIR image (C) shows a cortical high signal in bilateral higher parietal lobes suggestive of epidural collection and underlying cerebritis (star). Axial T2-weighted image (D) shows a hyperintense signal in the left thalamus and basal ganglia secondary to vasculitis.
case_images: CRIID2018-8528023.001.jpg
case_images: PMC6206551_01_CRIID2018-8528023.001.jpg
case_images: fig1
case_images: MRI brain (Figures 1 and 2) showed meningoencephalitis, vasculitis, and extradural fluid collection.
case_images: MRI brain examination of a 48-year-old male with meningoencephalitis, vasculitis, and extradural fluid collection. Postcontrast MRI axial T1 (A), GRE sagittal (B), GRE axial (C), and GRE coronal (D) images show diffuse leptomeningeal enhancement, enhancing basal exudates and high biparietal epidural fluid collection (white arrow) with cerebritis.
case_images: CRIID2018-8528023.002.jpg
case_images: PMC6206551_01_CRIID2018-8528023.002.jpg
case_images: fig2
case_images: MRI brain (Figures 1 and 2) showed meningoencephalitis, vasculitis, and extradural fluid collection.
case_images: Follow-up MRI brain examination after one month. Axial T2 (A), DWI (B), FLAIR (C), and postcontrast T1-weighted (D) images show significant interval improved leptomeningeal enhancement, resolution of epidural collection (not shown), and interval new communicating hydrocephalus.
case_images: CRIID2018-8528023.003.jpg
case_images: PMC6206551_01_CRIID2018-8528023.003.jpg
case_images: fig3
case_images: Repeat MRI brain (Figure 3) showed significant improvement in leptomeningeal enhancement and resolution of epidural collection; however, there was a new communicating hydrocephalus.