Case of May 2012

Clinical History:

An 46 years old lady presented with progressive bradykinesia, rigidity, and gait difficulty for 2 years. Patient did not response to treatment, and subsequently demonstrates symptoms progression with new onset of orthostatic hypotension and urinary retention.
MRI brain was performed to rule-out organic cause. 

T2-weighted axial images

T2-weighted axial FLAIR images

T1-weighted axial image.

Diffusion weighted image and ADC map