case_images: PMC11347030_01
case_images: (a) Patient's FDG-PET scan at age 39 showed severe hypometabolism in the cerebellum, medial temporal lobes, paramedial frontal lobes, midbrain, and pons. There was also mild-to-moderate hypometabolism in most of the cerebral cortex except the bilateral occipital lobes, precuneus, and posterior cingulate. (b) Patient's MRI T1 sagittal and coronal scan at age 39 showed cerebellum atrophy.
case_images: CRIPS2024-2863662.001.jpg
case_images: PMC11347030_01_CRIPS2024-2863662.001.jpg
case_images: fig1
case_images: These findings raised the working diagnosis of CCAS considering her decline in cerebellar functioning and coordination, cognitive executive functioning, and affective problems including issues with mood regulation and anxiety, in addition to findings on imaging (Figure 1).