Abstract
We report a case of Parry-Romberg syndrome in a 32-year-old woman presenting with intermittent headache and mild sensory disturbance. MR imaging revealed minimal asymmetric atrophy of the right hemisphere with a few nonspecific white matter hyperintensities. Diffusion tensor imaging and fiber tractography, however, demonstrated clear fiber derangement, especially in the sensory tract of the right cerebral white matter.
Highlights
CASE REPORTSUMMARY: We report a case of Parry-Romberg syndrome in a 32-year-old woman presenting with intermittent headache and mild sensory disturbance
Parry-Romberg syndrome (PRS) is an acquired progressive facial hemiatrophy of the skin and subcutaneous tissue, and sometimes underlying bony structure, with an occasional involvement of the nervous system[1,2,3,4,5] The atrophic process commonly appears during the first and second decades of life and affects mainly the face below the forehead.[6]
We report a case of a patient with PRS presenting with sensory disturbance and subtle white matter changes
Summary
SUMMARY: We report a case of Parry-Romberg syndrome in a 32-year-old woman presenting with intermittent headache and mild sensory disturbance. MR imaging revealed minimal asymmetric atrophy of the right hemisphere with a few nonspecific white matter hyperintensities. We report a case of a patient with PRS presenting with sensory disturbance and subtle white matter changes. The patient showed hyperactive deep tendon reflexes on both knee jerks with a left extensor plantar response, along with a peripheral facial palsy on the right side. Laboratory examinations such as blood counts, renal and hepatic function tests, hypercoagulability screening, and autoantibodies revealed normal findings.
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