case_images: PMC11828708_01
case_images: The result of brain magnetic resonance imaging (MRI) at 28 years old.. T2-weighted brain MRI shows significant cerebellar atrophy (yellow arrows) and mild brainstem atrophy (blue arrow).
case_images: cureus-0017-00000077448-i01.jpg
case_images: PMC11828708_01_cureus-0017-00000077448-i01.jpg
case_images: FIG1
case_images: Babinski's were negative. Brain magnetic resonance imaging (MRI) revealed significant atrophy of the cerebrum and brainstem (Figure 1).
case_images: PMC11828708_02
case_images: The result of brain magnetic resonance imaging (MRI) at 32 years old.. T2-weighted brain MRI shows significant cerebellar atrophy (yellow arrows) and mild brainstem atrophy (blue arrow), with minimal changes compared to the results at 28 years old.
case_images: cureus-0017-00000077448-i02.jpg
case_images: PMC11828708_02_cureus-0017-00000077448-i02.jpg
case_images: FIG2
case_images: Brain MRI again revealed significant atrophy of the cerebrum and brainstem, with almost no change compared to the results at the age of 28 (Figure 2).