Fig. 1

An initial cranial MR image showing hemorrhage in the right temporal lobe, left temporal parietal subarachnoid, and multiple infarcts throughout the deep white matter. a-d: A diffusion-weighted image (DWI) shows increased intensity in central of the lesion with reduced intensity surrounding the lesion in the right temporal lobe. Multiple hyperintense lesions can be seen in the brain stem, bilateral cerebral, and cerebellar hemispheres. e-f: T1-weighted image (T1WI) shows isointensity lesions in the right temporal lobe and multiple hypointense lesions throughout deep white matter. g-h: T2-weighted image (T2WI) shows hyperintense areas in the right temporal and multiple hyperintense lesions throughout the deep white matter. i-l: enhanced T1-weighted image shows no enhanced lesions or dural meningeal enhancement. m-n: cranial CT shows right temporal lobe hemorrhage and left temporal parietal subarachnoid hemorrhage. o: an eschar present on the left calf