PMC6556351_01
Magnetic resonance imaging of the brain:susceptibility-weighted imaging maximum intensity projection (SWI mip) sequence showing linear and punctate haemorrhagic lesions throughout the cerebrum and cerebellum and leptomeningeal enhancement in the right cerebellum folia.
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Repeat MRIB (while the patient was comatose and intubated) revealed linear and punctate haemorrhagic lesions throughout the cerebrum and cerebellum on susceptibility-weighted images maximum intensity projection (SWI mip) sequence (Figures 1(a) and 1(b)). There was also leptomeningeal enhancement in the right cerebellar folia (Figure 1(a)) and evidence of widespread meningitis on MRIB.
Histopathology from brain biopsy revealing eosinophilic infiltration in brain parenchyma and meninges.
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A brain biopsy was performed which revealed eosinophilic meningoencephalitis without detection of helminths, vasculitis, or malignancy (Figure 2).