PMC7736632_01
The clinical course. Gray bands indicate the length of time a patient has had intractable hypotension. IVIg, intravenous immunoglobulin; IVMP, intravenous methylprednisolone; CTX, cyclophosphamide.
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F1
Therefore, we stopped the empirical treatment of acyclovir and began a 5-day treatment course with IVIg immunoglobulin (2 g/kg/5 days) combined with daily 1,000 mg intravenous methylprednisolone shock therapy (Figure 1).
Head magnetic resonance imaging (MRI). (A,B) T2WI axial image in a patient with anti-GABA B encephalitis. (C) FLAIR corona scanning. (D,E) DWI axial image. (F) ADC axial image.
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F2
At this time, the patient underwent a re-examination of head MRI (Figure 2), which suggested brain parenchyma swelling in the left hippocampus that was considered to be caused by autoimmune encephalitis.