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Figure 1 | Journal of Medical Case Reports

Figure 1

From: Ketamine and transcranial magnetic stimulation treatment for bipolar II disorder: a case report

Figure 1

Representative images from the various types of displays used in our protocol. The first three images are part of the orthogonal displays and the last three are part of the stereotactic surface projections obtained with the Neurostat software (manufactured by Neurostat/3D-SSP, University of Washington, Seattle, WA, USA) [9]. Upper row: Baseline brain single-photon emission computer tomography (SPECT) shows multiple areas of hemispheric underperfusion, more accentuated in his frontal lobes, orbitofrontal areas and apico-mesial temporal areas. Marked hyperperfusion in his right putamen and in parts of his posterior cingulate and right cerebellum is also visible. Lower row: Follow-up SPECT scan at five and a half months post-treatment shows that practically all previously underperfused areas have significantly improved relative perfusion. Previously hyperperfused areas are either unchanged or increasingly hyperperfused.

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