PMC6055092_01
MRI of the patient 1 day after onset of neurological symptoms. On the left side, a T2-weighted image with multiple foci of high signal intensity bilaterally in the semioval centre (arrows) in keeping with the starfield pattern described for FES. On the right side, corresponding diffusion-weighted image showing diffusion restriction as a result of fat emboli.
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A magnetic resonance imaging (MRI) scan of the brain revealed, besides diffuse swelling, multiple punctiform T2 hyperintense lesions diffusely spread in the brain in a pattern that is characteristic for FES (Figure 1).
MRI of the thoracolumbar spine of the patient 1 day after onset of the paraplegia. On the left side, a sagittal STIR-weighted image showing a hyperintense signal in the distal part of the myelum which appears swollen. On the right side, a diffusion-weighted image with diffusion restriction of the corresponding myelum consistent with extensive ischaemia due to embolism. In this image, the cause of the embolism cannot be identified.
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Th8 to the conus medullaris (Figure 2). The lesion was the result of embolism; however, the image itself cannot differentiate between causes of embolism.