Table 1:
ID | Age | Gender | Significant medical history |
Neurological exam findings |
MRI findings | MRA findings |
---|---|---|---|---|---|---|
1 | 13 | F | History of pulmonary tuberculosis and typhoid fever | None/normal | Mild cortical atrophy and an old ischemic lesion in the right cerebellum | Normal |
2 | 14 | F | History of syncope | Positive Babinski bilaterally | Bilateral multifocal punctate periventricular and subcortical white matter hyperintensities | Normal |
3 | 13 | M | Exposed to alcohol in utero; recurrent fevers | Hypoactive reflexes consistent with HIV-associated peripheral neuropathy | Punctate subcortical white matter foci of hyperintensity in the left greater than right frontal lobes | Normal |
4 | 12 | F | Born premature at 30 weeks | None/normal | Multifocal punctate white matter foci of hyperintensity in the frontal lobes bilaterally | Normal |
5 | 12 | M | History of learning disability | Mild difficulties with rapid alternating movements on the left side; mild satelliting of the left hand on forearm rolling test. | Small foci of encephalomalacia scattered in the right corona radiata, right putamen, and right frontal lobe, old right MCA territory infarct | Narrowing of the right M1 segment of the MCA and small collaterals from the external carotid artery to the more peripheral MCA territory |
6 | 14 | F | History of pulmonary tuberculosis | Positive Babinski on the left | Old infarct in the right basal ganglia and right corona radiata | Normal |
7 | 9 | F | History of severe malnutrition; episode of right hemiparesis two years prior that largely resolved within a month. | 4+/5 right finger strength and mild slowing of rapid alternating movements with right hand. | Old infarct in the territory of the left MCA | Stenosis of the left internal carotid artery with small collaterals in this region |