PMC7438708_01
Brain computed tomography images. (A) Brain computed tomography (axial image) depicting under-development of the bone structure on the left side of the face compared with the right, including the nasal bone, nasal septum, sphenoid bones, and ethmoid bones. (B) A three-dimensional image of the brain depicting atrophy of the orbit, zygomatic bone, and teeth on the left side.
fneur-11-00797-g0001.jpg
PMC7438708_01_fneur-11-00797-g0001.jpg
F1
Three-dimensional computed tomography imaging of the brain depicted atrophied bone structure (Figure 1).
Magnetic resonance images. (A-C) T2-weighted fluid-attenuated inversion recovery images of the brain depicting diffuse hyperintensity signals in the left cerebrum. (D) Gadolinium enhanced T1-weighted image showing no enhancement of the lesion. (E) Hydrogen magnetic resonance spectroscopy image of a lesion in the left cerebrum, including a decreased choline peak (arrow). (F) Magnetic resonance image of the legs revealing muscular atrophy of the right leg, particularly the vastus medialis (thick white arrow), vastus intermedius (thick red arrow), sartorius (thin white arrow) and biceps femoris (thin red arrow).
fneur-11-00797-g0002.jpg
PMC7438708_01_fneur-11-00797-g0002.jpg
F2
MRI revealed diffuse lesions in the left cerebrum (Figures 2A-C), which were also evident in the previously conducted MRI. There was no enhancement of lesions in Gadolinium enhanced T1-weighted image (Figure 2D). Hydrogen magnetic resonance spectroscopy (H-MRS) image showed decreased choline peak of the lesion (Figure 2E). Additional MRI of the legs depicted muscular atrophy in the right leg (Figure 2F).