Abstract
Sharma et al.1 presented an interesting radiologic finding—the “snake eyes” appearance—which has been reported in several neurologic disorders. However, I question the diagnosis of amyotrophic lateral sclerosis (ALS) since the patient was only 17 years old. Classic ALS does not occur in this age group. An ALS-like complication of HIV or human T-cell lymphotrophic virus 1 has been reported.2 In addition, we have seen teenage girls who have diffuse …
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