Abstract

We thank Drs. Finsterer and Zarrouk-Mahjoub for the letter written in response to our recently published article, “Linear cortical cystic lesions: Characteristic MR findings in MELAS patients” [1]. The reason we wrote the paper was that we noticed the high incidence of cortical cystic lesions (CCLs) in MELAS patients. Many of them were liner and limited within the cortex. On the other hand, CCLs have not been observed in many cases with arterial infarction who don’t have mitochondrial disease. Generally speaking, cortical laminar necrosis is more common cortical MRI abnormalities of arterial infarction.

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