A–C, Single-voxel proton spectra from a normal-appearing cerebellar volume (A, patient 12), a normal-appearing parieto-occipital white matter volume (B, patient 3), and a normal-appearing parieto-occipital cortex (C, patient 1). A–C, Single-voxel proton spectra from a normal-appearing cerebellar volume (A, patient 12), a normal-appearing parieto-occipital white matter volume (B, patient 3), and a normal-appearing parieto-occipital cortex (C, patient 1). Spectra reveal a significant decrease of choline (Cho) and the presence of a low amplitude signal at 0.9 ppm (Lip/aa) in each anatomic location. NAA is decreased in cerebellar (A) and parieto-occipital cortex (C) locations. Cr indicates creatine. M. Cristina Bianchi et al. AJNR Am J Neuroradiol 2003;24:1958-1966 ©2003 by American Society of Neuroradiology