case_images: PMC6055092_01
case_images: MRI of the patient 1 day after onset of neurological symptoms. On the left side, a T2-weighted image with multiple foci of high signal intensity bilaterally in the semioval centre (arrows) in keeping with the starfield pattern described for FES. On the right side, corresponding diffusion-weighted image showing diffusion restriction as a result of fat emboli.
case_images: 10.1177_2050313X18789318-fig1.jpg
case_images: PMC6055092_01_10.1177_2050313X18789318-fig1.jpg
case_images: fig1-2050313X18789318
case_images: A magnetic resonance imaging (MRI) scan of the brain revealed, besides diffuse swelling, multiple punctiform T2 hyperintense lesions diffusely spread in the brain in a pattern that is characteristic for FES (Figure 1).
case_images: MRI of the thoracolumbar spine of the patient 1 day after onset of the paraplegia. On the left side, a sagittal STIR-weighted image showing a hyperintense signal in the distal part of the myelum which appears swollen. On the right side, a diffusion-weighted image with diffusion restriction of the corresponding myelum consistent with extensive ischaemia due to embolism. In this image, the cause of the embolism cannot be identified.
case_images: 10.1177_2050313X18789318-fig2.jpg
case_images: PMC6055092_01_10.1177_2050313X18789318-fig2.jpg
case_images: fig2-2050313X18789318
case_images: Th8 to the conus medullaris (Figure 2). The lesion was the result of embolism; however, the image itself cannot differentiate between causes of embolism.