PMC6855051_01
(a) Axial FLAIR showed hyperintense signal in supratentorial white matter. (b) Axial T2 showed hyperintense signal in supratentorial white matter. (c) Axial Diffusion showed restricted diffusion at the entire corpus callosum and at the white matter. (d) Sagittal T2 showed hyperintense signal in supratentorial white matter and also in the brainstem. (e) Axial T2 showed hyperintense signal at the mesencephalon. (f) Axial T2 showed hyperintense signal at the pons.
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fig1
Brain MRI was performed which showed extensive T2 and FLAIR white matter hyperintense lesions as well as in brainstem and splenium of corpus callosum (Figure 1).
Axial FLAIR showed absence of abnormalities at follow up.
CRINM2019-9272074.002.jpg
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fig2
Symptoms completely solved after 5 days of intravenous methylprednisolone 1 g daily. Six-weeks after treatment, a brain MRI was repeated, showing complete resolution of previous findings (Figure 2).