case_images: PMC8366195_01
case_images: Brain MRI (basal ganglia level): (a) axial fluid attenuated inversion recovery image shows scattered areas of signal abnormality involving the bilateral periventricular white matter (arrow) consistent with chronic microvascular ischemic changes and (b) Axial gadolinium-enhanced T1-weighted image does not show any abnormal enhancement.
case_images: 10.1177_2050313X211039377-fig1.jpg
case_images: PMC8366195_01_10.1177_2050313X211039377-fig1.jpg
case_images: fig1-2050313X211039377
case_images: Magnetic resonance imaging of the brain (done three times at 3, 6, and 11 months) was suggestive of chronic microvascular ischemic changes but could not explain the symptoms (Figure 1).