Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult

Figure 1

Brain magnetic resonance imaging (MRI) with contrast 6 weeks later. (a, b) T1 (magnetization-prepared rapid acquisition with gradient echo): tiny focus of enhancement seen within the superior portions of the right internal auditory canal. (c) T1 (magnetization-prepared rapid acquisition with gradient echo): tiny focus of enhancement seen at the posterior portions of the basal turn of the cochlea. (d) Diffusion Weighted Image: left superior occipital white matter with restricted diffusion. (e) T2-weighted sequence: no enhancement at the cerebellum and pons. (f) T2-weighted sequence: no enhancement at the midbrain.

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