PMC4695636_01
Images of the brain MRI study. (a) Coronal FLAIR-T2 showing bilateral pathological hyperintense signal abnormalities in periventricular, periaqueductal area, in both crura cerebri, and in both hypothalami (arrows). (b) Axial diffusion weighted imaging DWI showing a right thalamic infarct as a hyperintense signal.
CRINM2015-389081.001.jpg
PMC4695636_01_CRINM2015-389081.001.jpg
fig1
Brain MRI scans ten days after initiating the antibiotic therapy showing residual hyperintense signal alternations in the hypothalamus, in the left crura cerebri, and in the left thalamus (arrows) on the coronal FLAIR-T2 in (a) and complete regression of the signal abnormality on the axial diffusion weighted imaging DWI in (b).
CRINM2015-389081.002.jpg
PMC4695636_01_CRINM2015-389081.002.jpg
fig2
Cranial MRI scans during the antibiotic treatment revealed remarkable resolve of the signal abnormalities (Figure 2); in correlation, quick normalization of the left-sided hemiparesis and the psychomotor impairment could be noticed.