Findings
- T2/FLAIR signal hyperintensity in the right greater than left thalami and right greater than left dorsal midbrain with involvement of the periaqueductal gray matter, hypothalamus, anterior commissure, and mamillary bodies
- Areas of cystic change in the right thalamus and right eccentric midbrain
- No corresponding enhancement or restricted diffusion
- No substantial intracranial mass effect or evidence of hydrocephalus
Diagnosis
Neuromyelitis optica (NMO)
Key Imaging Features
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Differential Diagnosis
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Discussion
Pearls
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