case_images: PMC8132766_01
case_images: Cerebral MRI showing FLAIR hyperintensity of both dorsomedial thalami (green arrows) and both basal ganglia (purple arrows)
case_images: JFMPC-10-567-g001.jpg
case_images: PMC8132766_01_JFMPC-10-567-g001.jpg
case_images: F1
case_images: Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
case_images: Cerebral MRI showing FLAIR hyperintensity of the peri-aqueductal region (red arrow) which is highly specific for WE
case_images: JFMPC-10-567-g002.jpg
case_images: PMC8132766_01_JFMPC-10-567-g002.jpg
case_images: F2
case_images: Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
case_images: Cerebral MRI brain showing FLAIR hyperintensity of the mammillary body (pink arrow) which is also quite specific for WE
case_images: JFMPC-10-567-g003.jpg
case_images: PMC8132766_01_JFMPC-10-567-g003.jpg
case_images: F3
case_images: Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
case_images: Cerebral MRI showing hyperintense cortical lesions at both frontoparietal regions (red arrows) in FLAIR, a quite uncommon finding in WE
case_images: JFMPC-10-567-g004.jpg
case_images: PMC8132766_01_JFMPC-10-567-g004.jpg
case_images: F4
case_images: Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
case_images: Cerebral MRI showing resolution of previous lesions after therapy and minimal persistence of FLAIR hyperintensities of the caudate head (magenta arrows) and globus pallidi (green arrows) and normal-appearing periaqueductal gray mater and dorsomedial thalami
case_images: JFMPC-10-567-g005.jpg
case_images: PMC8132766_01_JFMPC-10-567-g005.jpg
case_images: F5
case_images: Follow-up MRI about a month later showed near resolution of the previous abnormalities, although some hyperintensities at the head of the caudate nucleus and globus pallidi and paraventricular areas persisted [Figure 5].