HIV-positive patient. Good immune status under combined ART. Apraxia and left-right disorientation for about two weeks.
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Multiple T2-hyperintense and T1 hypointense lesions around the trigonum and occipital horn of the left lateral ventricle. Diffuse and perifocal oedema in that region with mass effect. Restricted diffusion of the lesion centers and the entire region. There is ring- enhancement of the larger subcortical lesions and gyriform enhancement of the cortex in the cuneus.