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Fig 2. A 50-year-old woman 6 months post liver transplant experienced a generalized seizure and unresponsiveness. Blood pressure at the time of the toxic event fluctuated markedly with a range between 106 and 200 mm Hg systolic and 54 and 80 mm Hg diastolic.
A–E, Brain MR imaging (FLAIR sequence) obtained the day of the toxic event demonstrates moderate vasogenic edema in the subcortical white matter of the frontal (white arrows), parietal (white curved arrows), and occipital regions (white open arrows) with some cortical involvement consistent with a milder expression of the holohemispheric pattern. Thalamic involvement is present (black arrowhead, 2B) along with the upper margin of vasogenic edema present in the pons (black arrow, 2A).
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