Clinical recovery of severe infantile Angiostrongylus cantonensis meningoencephalomyelitis treated with pulse methylprednisolone: A case report and review of literature

Figure 1 Initial neuroimaging findings. A: Axial T2-weighted brain magnetic resonance imaging showing diffuse bilateral hyperintense lesions involving the gray and white matter of the frontal, parietal, and occipital lobes with associated ventricular dilatation. No acute hemorrhage, mass effect, or significant ventriculomegaly was detected; B: Sagittal T2-weighted cervical spine magnetic resonance imaging (MRI) revealing longitudinal hyperintense signal from C3 to C6 with mild cord expansion consistent with inflammatory edema; C: Axial T2-weighted cervical spine MRI demonstrating symmetric anterior horn hyperintensity, correlating with flaccid quadriplegia and respiratory failure. The orange arrows indicate the lesion locations in the brain and cervical spine.