PMC8132766_01
Cerebral MRI showing FLAIR hyperintensity of both dorsomedial thalami (green arrows) and both basal ganglia (purple arrows)
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F1
Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
Cerebral MRI showing FLAIR hyperintensity of the peri-aqueductal region (red arrow) which is highly specific for WE
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F2
Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
Cerebral MRI brain showing FLAIR hyperintensity of the mammillary body (pink arrow) which is also quite specific for WE
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F3
Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
Cerebral MRI showing hyperintense cortical lesions at both frontoparietal regions (red arrows) in FLAIR, a quite uncommon finding in WE
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F4
Contrast-enhanced magnetic resonance imaging (MRI) revealed hyperintensity at bilateral dorsomedial thalami, bilateral basal ganglia [Figure 1], peri-aqueductal region [Figure 2], and mammillary bodies [Figure 3] along with white matter based hyperintense cortical lesions at both frontoparietal regions [Figure 4] in fluid-attenuated inversion recovery (FLAIR) sequence.
Cerebral MRI showing resolution of previous lesions after therapy and minimal persistence of FLAIR hyperintensities of the caudate head (magenta arrows) and globus pallidi (green arrows) and normal-appearing periaqueductal gray mater and dorsomedial thalami
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F5
Follow-up MRI about a month later showed near resolution of the previous abnormalities, although some hyperintensities at the head of the caudate nucleus and globus pallidi and paraventricular areas persisted [Figure 5].