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Fig. 4A. —MR images of mitochondrial neurogastrointestinal
encephalomyopathy in 39-year-old woman. Axial FLAIR image (TR/TE, 9,000/110;
inversion time, 2,500 msec) shows abnormally increased signal intensity
bilaterally in caudate heads, putamina, globi pallidi, and thalami (severity
scores: 4, 3, 2, and 3, respectively). Also note abnormally increased signal
intensity bilaterally in internal, external, and extreme capsules (severity
scores: 3, 4, and 4, respectively). Gray matter of claustrum is suggested
between external and extreme capsules.
