PMC9403338_01
Daily equivalent doses of prednisone received throughout hospitalizations.
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Due to persistent hypoxia, patient was restarted on high dose dexamethasone and discharged to home instructions to complete a prolonged dexamethasone taper (Fig. 1).
MRI brain T1 weighted imaging revealed lesion with ring-enhancement (A) with adjacent edema on T2 weighted imaging (B). MRI cervical spine T1 weighted showed diffuse hypoattenuation consistent with internal necrosis (C) and diffuse hyperattenuation of cervical spine cord on T2 weighted imaging (D).
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Magnetic resonance imaging (MRI) brain revealed scattered ring enhancing lesions with surrounding vasogenic edema along the grey-white junction as well as a large irregular lesion involving the proximal cervical spinal cord (Fig. 2A-D).
MRI T1 weighted imaging revealing spinal cord hypoattenuation at the skull base with further extension to C5 concerning for internal necrosis (A) and redemonstration of diffuse hyperattenuation on T2 weighted imaging (B).
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Cervical spine imaging, however, revealed extension of the cervical spine lesion from the skull base to C7 with peripheral enhancement and internal necrosis at C5 level (Fig. 3A-B).