The Role of Imaging Studies in Favor of Possible Cerebellar Multiple System Atrophy A Case Study

We report a 64-year-old woman whose history started with urinary incontinence and neurological symptoms (cognitive impairment, dysarthria, and gait difficulties). The F-18-FDG PET/CT showed hypometabolism of the whole cerebellum. Then 6 months later, she developed tremor, postural instability, and ataxia, so she was hospitalized to complete study. Blood tests (antibodies, vitamin B12, copper, genetic test of spinocerebellar ataxia) did not have alterations, but imaging studies, along with clinical symptoms, provide the diagnosis of possible multiple system atrophy.

Automated summary

A 64-year-old female presented with urinary incontinence and neurological symptoms, showing hypometabolism of the whole cerebellum on imaging studies. Later, she developed tremor, postural instability, and ataxia, leading to a possible diagnosis of multiple system atrophy based on imaging and clinical symptoms.