Diffusion tensor imaging and fiber tractography in Parry-Romberg syndrome

W J Moon1, H J Kim, H G Roh

  • 1Department of Radiology, Konkuk University School of Medicine, Seoul, Republic of Korea.

Insights

Parry-Romberg syndrome, a rare neurological condition, was identified in a woman with headaches. Advanced imaging revealed subtle brain changes and significant fiber disruption in sensory pathways.

Area of Science:

  • Neurology
  • Neuroimaging
  • Neuroscience

Background:

  • Parry-Romberg syndrome is a rare disorder characterized by progressive hemifacial atrophy.
  • Clinical presentation can be variable, sometimes including neurological symptoms.
  • This case highlights potential neuroimaging findings beyond external atrophy.

Observation:

  • A 32-year-old woman presented with intermittent headache and mild sensory disturbance.
  • Magnetic resonance (MR) imaging showed minimal right cerebral hemisphere atrophy and non-specific white matter hyperintensities.
  • Diffusion tensor imaging (DTI) and fiber tractography were employed for detailed microstructural analysis.

Findings:

  • DTI and tractography revealed significant fiber derangement in the white matter of the right cerebral hemisphere.
  • The observed fiber disruption was particularly evident in the sensory tracts.
  • These findings suggest underlying white matter abnormalities not fully captured by conventional MRI.

Implications:

  • Advanced neuroimaging techniques like DTI can detect subtle white matter microstructural changes in Parry-Romberg syndrome.
  • These findings may contribute to understanding the pathophysiology of neurological symptoms in PRS.
  • Further research is warranted to explore the correlation between DTI findings and clinical manifestations.

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