Fig 3. Patient 170. Increasing abnormality from day 2 to day 3.
A, Axial Dav map at age 34 hours shows extensive reduced diffusion in the lateral thalami (T) and, to a lesser extent, in the posterior left putamen (white arrow).
B, Proton MR spectroscopy from the left thalamus at 34 hours is most remarkable for a moderate lactate peak (arrow).
C, Axial Dav map at age 61 hours shows that extensive reduced diffusivity has developed within the putamina (arrows).
D, Proton MR spectroscopy from the left thalamus at 61 hours shows a marked increase in lactate compared with NAA and choline.