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CASE REPORT
Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 15

"Reverse Tigroid" Pattern in Pachygyria: A Novel Finding


1 Department of Neurology, Bangur Institute of Neurosciences, IPGMER, Kolkata, West Bengal, India
2 Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Ujjawal Roy
Department of Neurology, Bangur Institute of Neurosciences, IPGMER, Kolkata, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2156-7514.181491

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Pachygyria is considered a subtype of lissencephaly which, in turn, is a spectrum of disorders caused by abnormal neuronal migration. Clinical presentation in this disorder may be varied including microcephaly, developmental delay, facial dysmorphism, seizures, and mental retardation. Magnetic resonance imaging (MRI) of brain identifies the exact nature and extent of the disease and helps in delineating further plan of management. A Tigroid pattern on axial MRI scan and leopard pattern on a sagittal plane has been classically reported in disorders of myelin formation such as metachromatic leukodystrophy and Pelizaeus-Merzbacher disease. We present here a case of pachygyria who presented to us with some atypical features including "tigroid-like stripes" and "leopard-like pattern" on MRI brain which has not been reported in the medical literature previously.


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