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Patient 1. Patient 1. A 24-year-old woman with complicated (cardiac failure, pulmonary edema, chest infection, sternal wound sepsis, and venous thrombosis)

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Presentation on theme: "Patient 1. Patient 1. A 24-year-old woman with complicated (cardiac failure, pulmonary edema, chest infection, sternal wound sepsis, and venous thrombosis)"— Presentation transcript:

1 Patient 1. Patient 1. A 24-year-old woman with complicated (cardiac failure, pulmonary edema, chest infection, sternal wound sepsis, and venous thrombosis) and very protracted postoperative course in the ICU post–heart-lung transplantation. She was on a standard immunosuppressive regimen and had been on total parenteral nutrition. Five weeks after surgery, she deteriorated neurologically with seizures and decreased level of consciousness. Her plasma ammonium level was 168 μmol/L. DWI (A and B) and FLAIR images (C and D) show symmetric abnormal signal intensity in the insular (arrows) and cingulate cortices (arrowheads) bilaterally. Extensive signal-intensity change involving both the cortex and subcortical white matter is also seen in right temporo-occipital and left occipital lobes. J.M. U-King-Im et al. AJNR Am J Neuroradiol 2011;32: ©2011 by American Society of Neuroradiology

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