Abstract
A previously healthy 32-year-old woman presented with fever, slurred speech, and right hemiparesis. She had no history of head trauma, headache, or hypertension. Neurological examination showed a right hemiparesis, a positive Hoffman sign in the upper limb, hyper-reflexia and reduced sensitivity to pin-prick in the right leg, and a right extensor plantar (Babinski) response. Multiple lesions with alternating T1 hypointense and isointense rings (figure A) and alternating T2 hyperintense and isointense rings (figure B), which were especially typical in the left parietal lobe, were seen on brain MRI.
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