case_images: PMC10542394_01
case_images: Axial diffusion weighted (DWI) image (A) demonstrates hyperintensity in the globus pallidus bilaterally (thick white arrows) representing cytotoxic edema from a recent infarct. There is corresponding hyperintensity on the T2 weighted image (B).
case_images: fneur-14-1214137-g0001.jpg
case_images: PMC10542394_01_fneur-14-1214137-g0001.jpg
case_images: F1
case_images: MRI resonance imaging of the brain revealed the presence of asymmetrical high-intensity signal associated with diffusion restriction in the bilateral globus pallidus, suggesting metabolic stroke (Figures 1A, B).
case_images: Single voxel MR spectroscopy in the left globus pallidus demonstrates a small, inverted lactate doublet at 1.3 ppm (thin white arrow).
case_images: fneur-14-1214137-g0002.jpg
case_images: PMC10542394_01_fneur-14-1214137-g0002.jpg
case_images: F2
case_images: These findings suggested an initial clinical diagnosis of Leigh syndrome (Figure 2).