Pantothenate kinase-associated neurodegeneration - eye of the tiger sign

Discussion:

The brain MRI findings, the patient's history and physical examination findings, along with the similar family history allowed a suggestion of pantothenate kinase-associated neurodegeneration. However, the eye of the tiger sign is suggestive but not pathognomonic of this entity. 

A trial of carbidopa did not show noticeable improvement of her spasticity. 

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