case_images: PMC10770733_01
case_images: Axial head computed tomography (CT). Symmetric low attenuation lesions involving bilateral cerebellum measuring 5cm by 3cm are suspicious for acute to subacute infarct.
case_images: qmj-2023-04-036-g001.jpg
case_images: PMC10770733_01_qmj-2023-04-036-g001.jpg
case_images: fig1
case_images: To rule out a stroke, a computed tomography (CT) scan of the head was performed, which was suspicious for a subacute to acute infarct to the cerebellum (Figure 1).
case_images: Brain magnetic resonance imaging (MRI). (A) Sagittal (B) Axial (C) Coronal images demonstrate symmetric abnormal degeneration in the cerebellar white matter extending to the posterior limbs of the internal capsule. Differential diagnosis includes acquired toxic/metabolic degenerative disorder.
case_images: qmj-2023-04-036-g002.jpg
case_images: PMC10770733_01_qmj-2023-04-036-g002.jpg
case_images: fig2
case_images: A subsequent brain magnetic resonance imaging (MRI) indicated there was toxic degeneration of the cerebellar white matter that extended into the posterior limbs of the internal capsule (Figure 2A, 2B, and 2C).