Submitted by Phillip Cheng, MD and Marcel Maya, MD
History: 44 year old female with several days of confusion and unsteady gait. Physical examination demonstrates external ophthalmoplegia.
Images: MRI brain, 5 mm axial images, FLAIR (fluid attenuation inversion recovery) sequence. Click on images below for an enlarged view.
Figure 1
Figure 2
Figure 3
Figure 4