case_images: PMC7719769_01
case_images: Brain CT on admission (panels 1-2) shows sequellar macro calcification of former neurotoxoplasmosis episodes (red arrows). Panels (3-6) refer to brain CT with angiography (venous phase); thrombosis of superior sagittal and right transverse sinus. Brain MRI realized 6 months before admission (a-f) and on admission (A-F). White matter hyperintensities in T2 FLAIR account for CSF HIV escape related progressive neuroinflammation. Absence of lesions in the posterior fossa.
case_images: fneur-11-585527-g0001.jpg
case_images: PMC7719769_01_fneur-11-585527-g0001.jpg
case_images: F1
case_images: Brain magnetic resonance imaging (MRI) showed a venous sinus thrombosis (superior sagittal and lateral; confirmed by (computed tomography) CT angiogram in venous phase) as well as periventricular and intra-parenchymatous white matter hyper-intensities in T2-FLAIR as compared to brain MRI realized on June 2019 (Figure 1).
case_images: Evolution of CSF and serum HIV viral load and CNS inflammation markers under treatment. Patient was admitted in our hospital on 13th of December 2019. << T-1 >> accounts for 26th of November 2019, << T0 >> for 13th of December 2019, << T1 >> for 10th of February 2020 and << T2 >> for 14th of April 2020.
case_images: fneur-11-585527-g0002.jpg
case_images: PMC7719769_01_fneur-11-585527-g0002.jpg
case_images: F2
case_images: Decrease in both CSF and serum viral load as well as CSF inflammatory markers were found (Figure 2).