PMC4109435_01
Top: T1-weighted gadolinium-enhanced axial and coronal magnetic resonance images before brain radiation therapy: lesions on the left side of the mesencephalon (left, thin arrow) in the left thalamus (right, thick arrow); bottom: corresponding images after therapy presenting much less clear lesions.
fneur-05-00123-g001.jpg
PMC4109435_02_fneur-05-00123-g001.jpg
F1
While native and gadolinium-enhanced MRI performed on the same day demonstrated an acute ischemia in the right frontal lobe, the cerebral metastases were considerably less obvious after interim brain radiation therapy (Figure 1).
PMC4109435_02
Top: T1-weighted gadolinium-enhanced axial and coronal magnetic resonance images before brain radiation therapy: lesions on the left side of the mesencephalon (left, thin arrow) in the left thalamus (right, thick arrow); bottom: corresponding images after therapy presenting much less clear lesions.
fneur-05-00123-g001.jpg
PMC4109435_02_fneur-05-00123-g001.jpg
F1
While native and gadolinium-enhanced MRI performed on the same day demonstrated an acute ischemia in the right frontal lobe, the cerebral metastases were considerably less obvious after interim brain radiation therapy (Figure 1).
Equal size pupils without blepharoptosis (top) in the interval between attacks of left-sided blepharoptosis, and maximally enlarged pupil during an attack (bottom, arrow) (with written permission of the patient).
fneur-05-00123-g002.jpg
PMC4109435_02_fneur-05-00123-g002.jpg
F2
Before and after it no weakness of the extraocular muscles, ptosis, unreactivity of the left pupil, or anisocoria were present (Figure 2). During the subsequent days, several episodes of sudden maximal mydriasis of the left pupil were observed that were occasionally accompanied by complete blepharoptosis that spontaneously disappeared after several minutes (Figure 2).