Fig. 1

Brain MR image of the patient in October 2021 showing bilateral symmetrical lesions with abnormal signals in the dorsal brainstem, mesencephalic aqueduct and bilateral basal ganglia on T1 (A), T2 (B), FLAIR (C) and DWI images (D)
Brain MR image of the patient in October 2021 showing bilateral symmetrical lesions with abnormal signals in the dorsal brainstem, mesencephalic aqueduct and bilateral basal ganglia on T1 (A), T2 (B), FLAIR (C) and DWI images (D)