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27 February 2022: Articles

Acute Hemorrhagic Leukoencephalitis – A Rare but Fatal Form of Acute Disseminated Encephalomyelitis – Complicated by Brain Herniation: A Case Report and Literature Review

Unusual clinical course, Challenging differential diagnosis, Management of emergency care, Rare disease, Rare coexistence of disease or pathology

Hamza M. Alsaid A* , Mohammad A.A. Atawneh A , Sadi Abukhalaf A , Amro Daoud E , Abdurrahman Hamadah C , Kamel Gharaibeh A

DOI: 10.12659/AJCR.935636

Am J Case Rep 2022; 23:e935636

Figure 2. (A) Axial fluid attenuated inversion recovery (FLAIR) image showing multiple areas of abnormal hyper-intensities with associated edema and effacement of sulci bilaterally. (B) Susceptibility-weighted imaging (SWI) showing multiple areas of hemorrhagic components bilaterally in the involved portions of the cerebral hemispheres. (C, D) T2 and SWI images showing unusual involvement of the infratentorial compartment with right intracerebellar infarction and hemorrhage. (E) Diffusion-weighted imaging (DWI) showing hyperdense areas of acute infarction “restricted diffusion”. (F) Apparent diffusion coefficient (ADC) map showing dark signals indicating acute ischemia.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923