Pantothenate kinase-associated neurodegeneration

Case contributed by Pavan Borra
Diagnosis almost certain

Presentation

Bulbar dystonia with postural abnormalities of limbs since 5 years

Patient Data

Age: 15 years
Gender: Female

Bilateral symmetrical T1/T2 hypointense signal changes noted in bilateral globus pallidi and substantia nigra with blooming on SWI sequence. Central areas of T2 hyperintensities noted in bilateral globus pallidi giving 'eye of the tiger' appearance. 

Case Discussion

Diagnosis of pantothenate kinase-associated neurodegeneration (PKAN) was made based on clinical and radiological evidence.

It is an autosomal recessive disorder and is a subset of neurodegeneration with brain iron accumulation (NBIA).

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