Diffuse Cerebral Edema and Impending Herniation Complicating Hepatic Encephalopathy in Hereditary Hemorrhagic Telangiectasia

Figure 4

Slices of axial brain MRI performed 15 hours after CT head. (a) T1 sequence showing bilateral hyperintense basal ganglia characteristic of chronic hepatic encephalopathy. (b) T2 FLARE sequence showing bilaterally symmetric intensities of the frontal and insular cortex. (c–e) DWI sequence showing prominent gray matter diffusion restriction of the bilateral frontal, temporal, parietal, and insular cortices.

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