Abstract

A 30-year-old man was admitted to this hospital because of progressive neurologic deficits, which had begun 1 year earlier with headaches and word-finding difficulties, followed by seizures and cognitive and motor deficits. Imaging studies revealed progressive lesions involving predominantly the white matter, basal ganglia, and brain stem. He had a history of painful genital and oral ulcers, associated with arthralgias, for which immunosuppressive medications had been given. A diagnostic procedure was performed.

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