Visual vignette describing development of paresis in 1 patient with brain abnormalities only on neuroimaging. Patient 5: (A) Time line of clinical course. (B) Head computed tomography showing mild lateral ventricle prominence (thin white arrow), but no short-term change. (C) Axial FLAIR images from MRI of the brain showing extensive bilateral areas of abnormal T2 signal intensity involving the white matter of the centrum semiovale, superior corona radiata, and periventricular white matter (thick white arrows), associated with restricted diffusion centrally, but no enhancement (diffusion-weighted and gadolinium-enhanced imaging not shown). (D) Sagittal T2 image from MRI of the spine with normal findings. DTR, deep tendon reflex; PICU, pediatric intensive care unit.
Figure 2.

Visual vignette describing development of paresis in 1 patient with brain abnormalities only on neuroimaging. Patient 5: (A) Time line of clinical course. (B) Head computed tomography showing mild lateral ventricle prominence (thin white arrow), but no short-term change. (C) Axial FLAIR images from MRI of the brain showing extensive bilateral areas of abnormal T2 signal intensity involving the white matter of the centrum semiovale, superior corona radiata, and periventricular white matter (thick white arrows), associated with restricted diffusion centrally, but no enhancement (diffusion-weighted and gadolinium-enhanced imaging not shown). (D) Sagittal T2 image from MRI of the spine with normal findings. DTR, deep tendon reflex; PICU, pediatric intensive care unit.

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