Axial T2-WIs demonstrate abnormal T2 prolongation bilaterally in the putamina. Also note
the T2 prolongation present in the caudate heads and bilaterally within the globus pallidus.
Axial FLAIR demonstrates the same abnormal hyperintensity. Coronal T1-WI
and coronal STIR demonstrate corresponding hypointensity.
Axial T1 FS post-gadolinium image reveals no contrast enhancement. Diffusion
sequences demonstrate restricted diffusion greatest in the left putamen and within
the right caudate head.
Key words: mri dwi metabolic stroke
Leigh's disease with acute infarcts