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Case #27

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Demographics: 17 years old, Female
Indication: Encephalopathy

Case #27

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

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