PMC8044765_01
The clinical and CSF evolutions of the patient.
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Lumbar puncture showed that her cerebrospinal fluid (CSF) pressure was 330 mmH2O, leukocyte count 540 x 106/L (neutrophil 80.0%), protein 1.57 g/L, glucose 1.16 mmol/L, and chloride 117.1 mmol/L ( Figure 1 ).
Brain MRI of the patient. (A) MRI revealed diffuse hyperintensities on fluid attenuated inversion recovery (FLAIR) imaging, accompanied by meningeal enhancement on the T1 contrast image. (B, C) Repeated MRI revealed that lesions were enlarged and meningeal enhancement was even more obvious after effective antibiotic therapy and induced labor. (D) Follow-up MRI showed marked improvement after corticosteroids treatment.
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Brain magnetic resonance imaging (MRI) revealed diffuse hyperintensities on fluid attenuated inversion recovery (FLAIR) imaging, accompanying by meningeal enhancement on a T1 contrast image ( Figure 2A ). Although brain MRA imaging were still normal, brain MRI revealed lesions were enlarged and meningeal enhancement was even more obvious ( Figure 2B ). The repeated MRI was confirmed the progressive condition ( Figure 2C ). The neurologic abnormalities gradually improved, and follow-up MRI showed marked improvement ( Figure 2D ).