MR spectroscopic examination of the right cerebellar lesion shows:
- Elevated choline (Cho) as well as myoinositol (MI) suggesting demyelination.
- Decreased N-acetyl aspartate (NAA) denoting axonal loss and dysfunction with increased Cho / NAA and Cho / Creatine ratios.
- Elevated lipid / lactate peak is noted.
- MR spectroscopic examination of the perifocal oedema shows normal metabolites’ ratio and peaks.