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FIG 4. Patient 4. Paralytic rabies.
A, Coronal and B, axial fast spin-echo T2-weighted images of the brain reveal ill-defined mild hyperintensity change at the posterior right paramedian lower medulla and hippocampi (arrowhead in A and B) and deep white matter of the brain (double arrows in A).
C, Axial and D and E, sagittal gadolinium-enhanced T1-weighted images of the hypothalami, brain stem, and upper cervical cord demonstrate mild to moderate enhancement at the hypothalami (arrow with circle in C and double arrow in D), tectal plate (thick arrow in C and D), periaqueductal gray matter (arrowhead in D), pons and medulla (arrows with block in D), and cervical cord (arrows in E). There is no meningeal enhancement. (Reprinted with permission from reference 3.)
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