AJDRAJNR - American Journal of Neuroradiology

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Okumura, A.
Right arrow Articles by Watanabe, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Okumura, A.
Right arrow Articles by Watanabe, K.

Parry-Romberg Syndrome with a Clinically Silent White Matter Lesion

A. Okumuraa, T. Ikutaa, T. Tsujia, T. Katoa, H. Fukatsub, S. Naganawab, K. Katob and K. Watanabec

a Department of Pediatrics, Nagoya University Graduate School of Medicine, Aichi, Japan
b Department of Radiology, Nagoya University Graduate School of Medicine, Aichi, Japan
c Faculty of Medical Welfare, Aichi Shukutoku University, Aichi, Japan


Figure 1
View larger version (123K):

[in a new window]
  		Fig 1. Photograph, CT, and MR imaging of the patient. A, Photograph at 34 months of age. Skin and soft-tissue atrophy of the left periorbital and premaxillary areas are recognized. B, CT scan obtained at 34 months of age. Low attenuation is shown in the entire white matter in the left hemisphere. C, FLAIR image obtained at 44 months of age. Abnormal high-intensity areas are observed in the entire white matter in the left hemisphere and in the occipital region in the right hemisphere. Small cysts are seen in the bilateral deep white matter. D, FA map. Decrease of anisotropy is observed in the white matter in the left hemisphere. E, Tractography of pyramidal tracts. Pyramidal tracts are clearly depicted in both hemispheres. F, Tractography of optic radiations, which are also depicted symmetrically.


Figure 2
View larger version (106K):

[in a new window]
  		Fig 2. SPECT findings. Blood perfusion is decreased in the white matter in the left hemisphere, whereas it is increased in the cerebral cortex in the ipsilateral hemisphere.


Figure 3
View larger version (135K):

[in a new window]
  		Fig 3. Proton MR spectroscopy. Normal spectral patterns are observed in both hemispheres.





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X