case_images: PMC11700260_01
case_images: (A). Axial FLAIR image showing diffuse high signal intensity involving white matter of the centrum semiovale. U-Fibers are spared. (B, C). Axial T2 weighted image showing diffuse, almost symmetric high signal intensity involving periventricular and deep white matter (B) and pons (C). (D). Apparent Diffusion Coefficient (ADC) maps reveal the involved periventricular and deep white matter areas with increased diffusivity.
case_images: gr1.jpg
case_images: PMC11700260_01_gr1.jpg
case_images: fig0001
case_images: The WM lesions spare subcortical U- fibers and cerebral cortex (Fig. 1A, B). The pons was also involved (Fig. 1C). There was no restriction of diffusion to the lesions (Fig. 1D).
case_images: MR spectroscopy volume of interest in the frontal white matter. Metabolite ratios NAA/Cr and Cho/Cr do not differ from healthy subjects. Note the high level of noise in the patient.
case_images: gr2.jpg
case_images: PMC11700260_01_gr2.jpg
case_images: fig0002
case_images: MR spectroscopy showed no pathological ratios of common metabolites (Cho, NAA, Cr, Lac, Lip) (Fig. 2).