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case_images: PMC7569074_02
case_images: Plain X-ray. Plain X-ray showing a fracture in the left distal femur without dislocation.
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case_images: Plain X-ray showed a fracture in the left distal femur without dislocation (Figure 1).
case_images: Brain magnetic resonance imaging. Diffusion-weighted imaging showing disseminated, hyperintense dot-like lesions in the brain, demonstrating the "starfield" pattern.
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case_images: Brain magnetic resonance imaging (MRI) was performed approximately 3 h after the presentation to our hospital (approximately 5 h after the injury), and diffusion-weighted imaging (DWI) revealed disseminated, hyperintense dot-like lesions in the brain, exhibiting the "starfield" pattern (Figure 2).
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case_images: Physical findings second day after injury. Petechiae developed on the palpebral conjunctiva.
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case_images: Petechiae developed on the palpebral conjunctiva on the second day after injury (Figure 3) and an electroencephalograph (EEG) revealed a wide range of low voltage, and obvious epileptiform discharges were not found.
case_images: Follow-up brain magnetic resonance imaging. Diffusion-weighted imaging showing the exacerbation of disseminated, hyperintense dot-like lesions in the brain.
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case_images: Brain MRI on day 4 demonstrated CFE exacerbation on DWI (Figure 4).