A 36-year-old man with severe type 1 diabetes and recurrent septic arthritis of the shoulder requiring frequent debridement presented with several days.

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Presentation transcript:

A 36-year-old man with severe type 1 diabetes and recurrent septic arthritis of the shoulder requiring frequent debridement presented with several days of headache, nausea, and visual changes along with hypertension. A 36-year-old man with severe type 1 diabetes and recurrent septic arthritis of the shoulder requiring frequent debridement presented with several days of headache, nausea, and visual changes along with hypertension. Blood pressure at toxicity was 184/111 mm Hg.A–E, Brain MR imaging (FLAIR sequence) demonstrates moderate vasogenic edema in the parietal (white curved arrows) and occipital (white open arrows) cortex and white matter with linear involvement along the superior frontal sulcus (white arrows) in the mid to posterior frontal lobes bilaterally. The extreme frontal poles seem normal (3B). This pattern is consistent with the superior frontal sulcus pattern. Cerebellar involvement (white arrowheads) is also present along with vasogenic edema at the junction of the pons and midbrain on the right (black arrowhead, 3A). W.S. Bartynski, and J.F. Boardman AJNR Am J Neuroradiol 2007;28:1320-1327 ©2007 by American Society of Neuroradiology