PMC6332821_01
A, MRI (on Day 1 of admission) showing patchy enhancement of cerebral white matter associated with a mild right to left midline shift. B, MRI (on Day 2 of admission) showing a marked progression of diffuse cerebral edema of bilateral white matter, right more than left, with worsening of a midline shift. C, MRI (on Day 15 of admission) showing significant improvement in cerebral edema (less hyperintense white matter area) with a near complete resolution of a midline shift
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PMC6332821_01_CCR3-7-160-g001.jpg
ccr31843-fig-0001
There was minimal right to left midline shift (Figure 1A). A repeat MRI showed worsening of the midline shift with early tonsillar herniation secondary to massive edema, now involving both hemispheres (Figure 1B). A repeat MRI on day 15 post-admission showed marked improvement in the cerebral edema with a complete resolution of the midline shift and tonsillar herniation (Figure 1C).