Pneumococcal Meningitis Complicated by Cerebral Vasculitis, Abscess, Hydrocephalus, and Hearing Loss

Figure 1

MRI brain examination of a 48-year-old male with meningoencephalitis, vasculitis, and extradural fluid collection. Axial DWI (A) and ADC (B) images show acute left thalamic (white arrow) and tiny right basal ganglia lacunar infarcts secondary to vasculitis. Axial FLAIR image (C) shows a cortical high signal in bilateral higher parietal lobes suggestive of epidural collection and underlying cerebritis (star). Axial T2-weighted image (D) shows a hyperintense signal in the left thalamus and basal ganglia secondary to vasculitis.