FINDINGS Figure 119-1. Axial T2WI through the basal ganglia. There is lack of clear visualization of the internal capsules and possible fusion of all of the deep gray matter (GM) nuclei (stars). There is diffuse hyperintensity throughout the white matter (WM). Figure 119-2. Axial T2WI through the corona radiata superiorly to Figure 119-1. There is dysplastic cortex (arrow) outlining both Sylvian fissures. Extensive WM hyperintensity is present. (Case courtesy of Z. Patay, Memphis, TN.)
DIFFERENTIAL DIAGNOSIS Zellweger syndrome, bilateral perisylvian syndrome, congenital cytomegalovirus (CMV), infantile Refsum disease.
DIAGNOSIS Zellweger syndrome.
DISCUSSION
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