Brain Death Secondary to Rocky Mountain Spotted Fever Encephalitis

Figure 2

(a, b) Axial diffusion-weighted images demonstrate multifocal areas of gyriform diffusion restriction involving the cortex. Additional scattered foci of diffusion restriction within the periventricular white matter give the appearance of a “starry sky.” (c) A coronal post contrast T1 image demonstrates diffuse leptomeningeal enhancement. (d) An axial post contrast T2 FLAIR image also demonstrates diffuse leptomeningeal enhancement.

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