Krabbe disease: MRI features

Evidence-based neurology checklist on krabbe disease: mri features: Tigroid appearance This is caused by symmetrical T2 hyperintensities These are mainly periventricular: especially parieto-occipital They are also seen in the deep white matter They do not enhance with contrast Other abnormalities…

Tigroid appearance

  • This is caused by symmetrical T2 hyperintensities
  • These are mainly periventricular: especially parieto-occipital
  • They are also seen in the deep white matter
  • They do not enhance with contrast

Other abnormalities

Spared areas

Diffusion tension imaging (DTI) features

Differentials of parietal-occipital changes

Differentials of periventricular changes

Synonym

References

  1. Gelinas J, Liao P, Lehman A, Stockler S, Sirrs S. Krabbe disease: a potentially treatable white matter disorder. Neurology 2012; 79:e170-e172.
  2. Andriescu EC, Russo SN, Pérez CA. Teaching NeuroImages: Infantile-onset Krabbe disease with tigroid appearance of the white matter. Neurology 2020; 94: e1964-e1965. 
  3. Given CA 2nd, Santos CC, Durden DD. Intracranial and spinal MR imaging findings associated with Krabbe's disease: case report. Am J Neuroradiol 2001; 22:1782-1785.
  4. Kapoor R, MCDonald WI, Crockard A, Moseley IF. Clinical onset and MRI features of Krabbe's disease in adolescence. JNNP 1992; 55:331-332.
  5. Bajaj NPS, Waldman A, Orrell R. Wood NW, Bhatia KP. Familial adult onset of Krabbe's disease resembling hereditary spastic paraplegia with normal imaging. JNNP 2002; 72:635-638.
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