Leigh syndrome
– a mitochondrial disease that presents in infancy with developmental regression, failure to thrive, and ataxia
– from time of diagnosis patients usually die within 2-3 years
– MRI shows T2 hyperintensities in the basal ganglia (esp. putamen), cerebral peduncles, and periaqueductal grey
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Panthothenate kinase-associated neurodegeneration (PKAN)
– MRI show hypointense lesions in the bilateral basal ganglia that have a central hyperintensities that represents gliosis on T2 FLAIR. This is called the “eye of the tiger sign”