case_images: PMC11305849_01
case_images: Cerebral MRI images (a, b). Fluid-attenuated inversion recovery (FLAIR) shows hyperintense lesions due to chronic small vessel disease, Fazekas Scale 1. Hippocampus and basal ganglia do not show abnormalities. 123I-FP-CIT dopamine transporter SPECT (c) revealed an inhomogeneous presynaptic dopamine transporter reduction in the putamen and caudates, with left-side and right-side predominance respectively. 18F-FDG PET imaging (d, e) demonstrated hypometabolism in both parietal lobes, most prominently on the left, and in the left lateral temporal area. [18F] Flutemetamol Amyloid PET showed predominant Abeta amyloid accumulation in the left temporal region (f).
case_images: adr-8-adr230168-g001.jpg
case_images: PMC11305849_01_adr-8-adr230168-g001.jpg
case_images: adr-8-adr230168-g001
case_images: MRI showed small white matter T2/FLAIR hyperintense lesions due to chronic small vessel disease (Fazekas Scale 1) (Fig. 1a,b). 123I-FP-CIT dopamine transporter SPECT revealed reduced presynaptic dopamine transporter levels in the putamen and caudate, with left-side predominance and right-side predominance, respectively, as reported in Fig. 1c. Flutemetamol Amyloid PET showed predominant Abeta amyloid accumulation in the left temporal region (Fig. 1f). 18F-FDG PET imaging demonstrated hypometabolism in both parietal lobes, most prominently on the left, and in the left lateral temporal area (Fig. 1d, e).