Figure 1.

A 78-year-old female patient with uncertain parkinsonism and vascular lesions in subcortical areas, semioval centers, basal ganglia, and left temporal lobe at MRI. ¹²³I-Ioflupane SPECT was pathological in both putamen nuclei (A) with also reduced BP values (1.7 and 1.8 in right and left putamen, respectively); ¹²³I-MIBG cardiac scintigraphy (B) was pathological with reduced H/M values both in early (1.2) and delayed (1.10) phases. The patient was finally classified as PD. MRI= magnetic resonance imaging, SPECT = single photon emission computed tomography.