Figure 7.

MRI was performed on day 3 in an infant born with Apgar scores of 9/10 who developed intractable seizures within the first hours after birth. T2 weighted imaging shows the decreased distinction of the gray and white matter at the cortex (A). DWI shows extensive diffusion restriction with sparing of the anterior periventricular white matter and an asymmetrical distribution of white matter injury in the parieto-occipital lobes (B). The infant died on day 5 after redirection of care and was subsequently diagnosed with Molybdenum cofactor deficiency.