Case of February 2018


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Clinical History:

A 59-year-old man who worked as a construction site worked and enjoyed good past health, presented with sudden onset of left lower limb weakness, left upper limb clumsiness, fever, vomiting, confusion and diplopia. Physical examination showed left lower limb power 4/5, with nystagmus, intentional tremor and past-pointing. MRI of the brain was performed.

Fig. 1: T1W Fig. 2: T2W

Fig. 3: FLAIR Fig. 4: DWI

Fig. 5: T2* Gradient Echo Fig. 6: Contrast-enhanced T1 FS