case_images: PMC7857149_01
case_images: Timeline of present case report.
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case_images: F1
case_images: An acute self-limited respiratory infection with diarrhea and a meningococcal vaccination, 2 and 4 weeks earlier respectively, were preceded the onset of weakness (Figure 1). Eventually, with the aid of rehabilitation team and dietary she continued to retain function, lose weight, and remain asymptomatic over the subsequent 7 months (Figure 1).
case_images: Normal findings of brain/spinal MRI. MRI brain scan T1 (B) and T2 (A), MRI spine sagittal (C).
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case_images: F2
case_images: Brain/spine MRI was unremarkable (Figure 2).
case_images: Ocular edema with flamed shaped hemorrhages OD (A), OS (B), and gradual improvement after treatment OD (C), OS (D).
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case_images: F3
case_images: Ocular examination showed decreased visual acuity with right esotropia and presence of bilateral optic disc edema with peripapillary flame-shaped hemorrhages (Figure 3).
case_images: Normal findings of brain CT scan: CT brain scan without/with intravenous contrast dye administration (A,B).
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case_images: F4
case_images: Therefore, we performed urgent brain CT scan with intravenous contrast dye administration, which was unremarkable, excluding the possibility of venus thrombosis, cerebral bleeding, displacement of midline brain structures and abnormal perimedullary spaces (Figure 4).