case_images: PMC11440965_01
case_images: Positron emission tomography (18PET-FDG) brain images from the patient with BBE in 3 orientations (axial, coronal, sagittal views), upper images in the acute phase, lower images 4 months after treatment. Blue arrows show hypometabolism, red arrows show hypermetabolism. Thalamus was used as a reference area for normalization due to its preserved glucose metabolism during this disease. (A) Axial view: upper image: mild generalized cortical hypometabolism, severe bilateral striatum hypermetabolism, and severe bilateral occipital hypometabolism; lower image: normalization of FDG metabolism in these areas. (B) Axial view: upper image: severe bilateral occipital hypometabolism; lower image: normalization of FDG metabolism. (C) Axial view: upper image: severe bilateral cerebellar hypometabolism, lower image: discrete bilateral cerebellar hypometabolism. (D) Sagittal view: upper image: mild generalized cortical hypometabolism, severe occipital, cerebellum, brain stem, and vermis hypometabolism bilaterally; lower image: normalization of FDG pattern except for discrete cerebellar, vermis and ventral brain stem hypometabolism. (E) Coronal view, upper image: severe occipital and cerebellar hypometabolism bilaterally. Lower image: FDG normalization at the occipital cortex bilaterally, discrete bilateral cerebellar hypometabolism.
case_images: fnume-03-1235173-g001.jpg
case_images: PMC11440965_01_fnume-03-1235173-g001.jpg
case_images: F1
case_images: Timeline in the evolution of the patient.
case_images: fnume-03-1235173-g002.jpg
case_images: PMC11440965_01_fnume-03-1235173-g002.jpg
case_images: F2
case_images: After 120 days, he returned to his activities of daily living (see Figure 2).