Presentation
45 days of headache accompanied by altered mental status and fever.
Patient Data
MR images show hyperintense lesions in the left basal ganglia. Numerous hyperintense lesions also are seen around the gray matter-white matter junctions, findings indicative of a hematogenously disseminated process.
Diffusion-weighted MR image shows high-signal-intensity rims and low-signal-intensity centers of the lesions.
Unenhanced T1-weighted MR image shows hyperintense borders, a somewhat irregular and “shaggy” appearance, and low-signal-intensity centers of the lesions
Case Discussion
Our patient was empirically treated for toxoplasmosis and had a good clinical outcome.