A case of tacrolimus-related encephalopathy after renal transplantation.
Brain MRI showed recurrent and reversible brainstem lesions.
Brain SPECT showed supratentorial hypoperfusion, different from the MRI abnormality.
The abnormalities on MRI and SPECT disappeared after the tacrolimus discontinuance.
The functional alteration may be efficiently detectable by SPECT rather than MRI.