case_images: PMC9194441_01
case_images: PMC9194441_02
case_images: MRI and MRS in the patient. (A) T2 weighted image (T2WI) showed symmetrical hyperintensity in the basal ganglia and thalamus, and a small amount of subdural effusion in the forehead. (B) Single voxel MRS of the left basal ganglia. The lactate peak, clearly visible as an inverted doublet at TE = 144 ms.
case_images: fped-10-889089-g001.jpg
case_images: PMC9194441_02_fped-10-889089-g001.jpg
case_images: F1
case_images: A brain magnetic resonance imaging (MRI) examination was performed and revealed a bilateral hyperintensity of basal ganglia (Figure 1A). The patient's lactate peak was distinctly discernible as an inverted doublet at TE = 144 ms by single voxel magnetic resonance spectroscopy (MRS) of the left basal ganglia (Figure 1B).