A 64-year-old man who had MR imaging for headaches, confusion, pyramidal tract signs, and pathologic awakening under sedation. These 3 images in the same patient showed a hyperactivation of colliculi in [18F] FDG-PET/CT (B), hyperperfusion in the brain perfusion sequence (CBF cartography), less intense and predominantly right-sided hyperperfusion on the follow-up MR imaging at 3 months (C), and no abnormalities on the FLAIR sequence (A).