case_images: PMC10823331_01
case_images: Axial T1 post gadolinium injection image showing ependymal enhancement consistent with ventriculitis. There is also meningeal enhancement and mild enlargement of the anterior and temporal horns of the lateral ventricles.
case_images: omad149f1.jpg
case_images: PMC10823331_01_omad149f1.jpg
case_images: f1
case_images: Magnetic resonance imaging of the brain and spine revealed post-gadolinium meningeal enhancement around the brainstem, bilateral V, VII, and VIII cranial nerves, cervical and lumbar spinal meninges as well as enhancement of the ependymal linings (Fig. 1).
case_images: Follow up axial T1 post gadolinium injection image done 3 weeks post treatment showing significant improvement of the ventriculitis, hydrocephalus and meningeal enhancement.
case_images: omad149f2.jpg
case_images: PMC10823331_01_omad149f2.jpg
case_images: f2
case_images: A repeated MRI of the brain at week three post-treatment showed regression of the meningeal enhancement and ventricular dilatation with minimal residual changes (Fig. 2).