35 year male patient with similar findings since 4 months . Clinicall mild responsive to steroids. Now with facilal LMN type palsy.
Finding are diffuse gyral diffusion restriction
Few cystic spaces in sulci
He had mycotic aneurysm with SAH
7th and 8th nerve thickening on left side
Please provide differentials
?crytococcal meningo encephalitis
Hiv status normal
Smaran Mazumder
DrVenkatesh M Pankaj Kaira
Images are not clear
Gyriform restriction possible encephalitis
Cause to be identified
csf analysis will help
Another possibility is did patient had cardiac arrest ?
Gyral and nerve involvement probably viral?