case_images: PMC9047684_01
case_images: (A, B) Spinal cord MRI showed T2-hypertense lesions at C5-6 (A) with slight Gd enhancement (B). (C-F) Multiple lesions on MRI of the brain. T2-hypertense in right center semicovale, lateral paraventricular, pons, left temporal lobe, with an obvious contrast-enhancing lesions in the left temporal lobe. (G) Brain MRI revealed a new T2-hyperintense lesion located in left pons with no-contrast enhancement. (H, I) Gd-enhanced MRI showed punctate and curvilinear enhancing lesions involving the right semi-oval center areas, the anterior and posterior angles of lateral ventricle, pons and bilateral cerebellar hemisphere in the right hemispheres of hemispheres, the anterior and posterior angles of lateral ventricles, pons and left cerebellar hemispheres, without evidence of leptomeningeal enhancement.
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case_images: Spinal cord MRI showed T2-hypertense lesions at C5-6 with slight Gd enhancement ( Figures 1A, B ). Babinski signs. Brain MRI showed multiple lesions in the right-center semicovale, lateral paraventricular, pons and left temporal lobe, and obvious contrast-enhancing lesions in the left temporal lobe ( Figures 1C-F ). Brain MRI revealed a new T2-hyperintense lesion in the left pons with no-contrast enhancement ( Figure 1G ). After admission, gadolinium-enhanced MRI showed punctate and curvilinear enhancing lesions involving the right semi-oval center areas, anterior and posterior horns of lateral ventricles, pons and bilateral cerebellum in the right hemisphere, the anterior and posterior horns of lateral ventricles, pons and left cerebellar hemisphere, without evidence of leptomeningeal enhancement ( Figures 1H, I ).
case_images: The timeline of relevant results and interventions during the diagnosis and treatment of our patient.
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case_images: The relevant diagnosis and treatment results of the patient are showed in  Figure 2 .