“…Patients typically present with high-grade fever, altered level of consciousness, seizures, and generalized constitutional symptoms, which fluctuate with blood parasitemia. 30 The imaging manifestations develop as a result of cytokine-induced damage and mechanical capillary blockade by parasite-infested erythrocytes, which lead to increased cerebral volume, decreased cerebral perfusion, and hypoglycemia. A wide spectrum of neuroimaging findings has been described on T2-weighted, FLAIR, DWI, gradient, and susceptibility weighted sequences (Fig 19), which involve the cortical and subcortical white matter, corpus callosum, basal ganglia, thalamus (Fig 20), and the cerebellum due to a combination of vasogenic and cytotoxic edema, hemorrhage, and infarctions.…”