case_images: PMC11448466_01
case_images: (A-D): in the FLAIR, T1 and T2, hyperintensities were observed predominantly in the in the globus pallidus, at the bilateral basal ganglia. Additionally, there were hyperintense lesions in the mesencephalon and pons.
case_images: IMCRJ-17-819-g0001.jpg
case_images: PMC11448466_01_IMCRJ-17-819-g0001.jpg
case_images: f0001
case_images: T1, and T2 hyperintensities were observed predominantly in the globus pallidus, at the bilateral basal ganglias (see Figure 1). The laboratory investigations revealed the following: 24-hour urine copper: 13.47 microg/24h (3-35), serum ceruloplasmin: 14.3 mg/dL (20-60), serum copper: 274.9 microg/L (800-1550) and ammonia in arterial blood gas 193.2 micromol/L (16-60).