PMC3664475_01
Brain RMI revealed a suggestive image of brain mass at the left parietal lobe, with bilateral bleeding areas predominantly in the left brain.
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fig1
Brain magnetic resonance imaging (MRI) revealed a suggestive image of brain mass at the left parietal lobe, concerning mainly periventricular white matter, semioval centers, with right temporal involvement, ipsilateral occipital, left cerebellar parenchymal, and leptomeningeal enhancement, with bilateral bleeding areas predominantly in the left brain (Figure 1).
Compromised arterial wall by an inflammatory infiltrate of lymphocytes and multinucleated giant cells. (H & E 10X.)
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fig2
There was no evidence of granulomas (Figures 2 and 3).
Infiltration of the blood vessel wall by polyclonal T lymphocytes. (Immunohistochemical for CD3 marker.)
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fig3
There was no evidence of granulomas (Figures 2 and 3).
PMC3664475_02
Brain MRI was performed with evidence of intracerebral hematoma with right frontal brain edema.
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fig4
Brain MRI was performed with evidence of intracerebral hematoma with right frontal brain edema, which extends into the III and IV ventricles as well as the lateral ventricles (Figure 4).
PMC3664475_03