Case Report

Steroid Pulse Therapy for Severe Central Nervous System Involvement in Shiga Toxin-Producing Escherichia coli-Related Hemolytic Uremic Syndrome

Figure 1

MRI scan at presentation (a, b) and at two weeks follow-up (c, d). In a and b, axial T2 weighted images show hyperintense signal changes in the tegmentum of the pons (a, red arrow), in the thalami (b, red arrows), in the putamen bilaterally with involvement of external capsule, claustrum, and capsula extrema (b, red arrows), more prominent in the left side. In c and d, the follow-up MRI scan shows a regression of the signal changes with the exception of the persistence of a small area of hyperintensity in the left putamen and external capsula (d, red arrow).
(a)
(b)
(c)
(d)