Patient 4. Patient 4. A 42-year-old woman was admitted with sepsis related to her central dialysis line, with a background of liver transplant, chronic.

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Presentation transcript:

Patient 4. Patient 4. A 42-year-old woman was admitted with sepsis related to her central dialysis line, with a background of liver transplant, chronic graft rejection, and hepatorenal syndrome. Her immunosuppressant regimen included tacrolimus and cyclosporin. Her condition deteriorated with respiratory failure, hypotension, seizures, and a drop in the GCS score. Her plasma ammonium level was 55 μmol/L. FLAIR image (A) and DWI (B) show abnormal signal intensity in the cortex involving the bilateral insular and cingulate and left posterior temporal lobes (arrows). The patient made an excellent recovery without significant neurologic deficit with supportive therapeutic measures. J.M. U-King-Im et al. AJNR Am J Neuroradiol 2011;32:413-418 ©2011 by American Society of Neuroradiology