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Patients with <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content> typically suffer from cognitive disorders and rapid eye movement sleep behaviour disorder. <jats:sup>18<\/jats:sup><jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\u2010fluorodeoxyglucose\u2010positron emission tomography is used to assess <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content>. However, the relationship between the clinical features and findings on <jats:sup>18<\/jats:sup><jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\u2010fluorodeoxyglucose\u2010positron emission tomography in patients with <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content> has not yet been investigated. Here we report a case of possible early\u2010stage cerebellar\u2010type <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content>. We concluded that cerebellar\u2010type <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content> or other factors, such as rapid eye movement sleep behaviour disorder or obstructive sleep apnoea cognitive impairment, could appear before changes are visible on <jats:sup>18<\/jats:sup><jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\u2010fluorodeoxyglucose\u2010positron emission tomography images. Additionally, we concluded that the cognitive impairment could derive from cerebellar\u2010type <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content> itself, not from other factors such as rapid eye movement sleep behaviour disorder or sleep apnoea syndrome.<\/jats:p>","DOI":"10.1111\/psyg.12134","type":"journal-article","created":{"date-parts":[[2015,6,26]],"date-time":"2015-06-26T11:40:20Z","timestamp":1435318820000},"page":"216-221","source":"Crossref","is-referenced-by-count":2,"title":["Cognitive impairment before changes appear on [18<scp>F<\/scp>]\u2010fluoro\u2010<scp>D<\/scp>\u2010glucose positron emission tomography images in a patient with possible early\u2010stage cerebellar\u2010predominant multiple system atrophy"],"prefix":"10.1111","volume":"16","author":[{"given":"Masahiko","family":"Takaya","sequence":"first","affiliation":[{"name":"Department of Neuropsychiatry Kinki University Faculty of Medicine  Osaka 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