Skip to main content
Log in

Pantothenate kinase 2 mutation with classic pantothenate-kinase-associated neurodegeneration without ‘eye-of-the-tiger’ sign on MRI in a pair of siblings

  • Case Report
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

It has been postulated that all patients with pantothenate kinase 2 (PANK2) mutations causing pantothenate-kinase-associated neurodegeneration (PKAN) are associated with the ‘eye-of-the-tiger’ sign on MRI. We report a pair of siblings who presented with dystonia and who have been found to be homozygous for 104C>A, S35X mutation, confirming the diagnosis of PKAN. They do not have the typical iron deposition in the globi pallida or substantia nigra on MR imaging.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Hayflick SJ (2002) Hallervorden Spatz syndrome/pantothenate kinase-associated neurodegeneration. In: Pulst S (ed) Genetics of movement disorders. Academic Press, San Diego, pp 429–441

    Google Scholar 

  2. Taylor TD, Litt M, Kramer P, et al (1996) Homozygosity mapping of Hallervorden-Spatz syndrome to chromosome 20,12.3-p13. Nat Genet 14:479–481

    Article  PubMed  CAS  Google Scholar 

  3. Zhou B, Westaway SK, Levinson B, et al (2001) A novel pantothenate kinase gene (PANK2) is defective in Hallervorden-Spatz syndrome. Nat Genet 28:345–349

    Article  PubMed  CAS  Google Scholar 

  4. Hayflick SJ, Westaway SK, Levinson B, et al (2003) Genetic, clinical and radiographic delineation of Hallervorden-Spatz syndrome. N Engl J Med 348:33–40

    Article  PubMed  CAS  Google Scholar 

  5. Thomas M, Hayflick S, Jankovic J (2004) Clinical heterogeneity of neurodegeneration with brain iron accumulation (HSS) and pantothenate kinase-associated neurodegeneration. Mov Disord 19:36–42

    Article  PubMed  Google Scholar 

  6. Valentino P, Annesi G, Ciro Candiano IC, et al (2006) Genetic heterogeneity in patients with pantothenate kinase-associated neurodegeneration and classic magnetic resonance imaging eye-of-tiger pattern. Mov Disord 21:252–254

    Article  PubMed  Google Scholar 

  7. Baumeister FA, Auer DP, Hortnagel K, et al (2005) The eye-of-tiger sign is not a reliable disease marker for Hallervorden-Spatz syndrome. Neuropediatrics 36:221–222

    Article  PubMed  CAS  Google Scholar 

  8. Galvin JE, Giasson B, Hurtig HI, et al (2000) Neurodegeneration with brain iron accumulation, Type 1 is characterized by α-,β-, and γ-Synuclein neuropathology. Am J Pathol 157:361–368

    PubMed  CAS  Google Scholar 

  9. Dooling EC, Schoene WC, Richardson EP Jr (1974) Hallervorden-Spatz syndrome. Arch Neurol 30:70–83

    PubMed  CAS  Google Scholar 

  10. Halliday W (1995) The nosology of Hallervorden-Spatz disease. J Neurol Sci 134:84–91

    Article  PubMed  Google Scholar 

  11. Savoiardo M, Halliday WC, Nardocci N, et al (1993) Hallervorden-Spatz disease: MR and pathologic findings. AJNR 14:155–162

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert Surtees.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zolkipli, Z., Dahmoush, H., Saunders, D.E. et al. Pantothenate kinase 2 mutation with classic pantothenate-kinase-associated neurodegeneration without ‘eye-of-the-tiger’ sign on MRI in a pair of siblings. Pediatr Radiol 36, 884–886 (2006). https://doi.org/10.1007/s00247-006-0205-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-006-0205-3

Keywords

Navigation