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Fig. 17 | Insights into Imaging

Fig. 17

From: Magnetic resonance imaging patterns of paediatric brain infections: a pictorial review based on the Western Australian experience

Fig. 17

T2 hyperintensity in posterior fossa—diffuse brainstem with longitudinal tract involvement (Pattern 6B). 14-year-old child with headache, vomiting, left cerebellar signs, left upper motor neuron facial palsy, diplopia and slurred speech. T2-weighted images (a, b) demonstrated asymmetric T2 hyperintensity within the brainstem and left cerebellar hemisphere. Coronal FLAIR image (c) demonstrated extension of abnormality along white matter tracts to the contralateral supratentorial brain. Patchy enhancement was appreciable on post-contrast T1-weighted imaging (d). Minimal DWI change was seen (not shown). Neuromelioidosis was proved on brain tissue sampling

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