Fig. 1.

Cranial ultrasound, coronal view, day 1, showing severe echogenicity in the white matter. MRI (T₂SE (TR 6284/TE 120) and ADC) performed on day 3 showing increased signal intensity in the white matter on T₂SE and low signal intensity in the deep white matter on the ADC map with sparing of the anterior periventricular white matter and asymmetrical distribution in the parieto-occipital white matter. The child died and was subsequently diagnosed to have molybdenum cofactor deficiency