DOI: 10.4103/jpn.jpn_128_26 ISSN: 1817-1745

Pachygyria and “Tigroid” White-matter Pattern in a Treated Case of Congenital Cytomegalovirus Infection

Sahil Singla, Shaurya Pharasi, Ravindra Singh Jadon

Abstract

A 2-year-old girl with treated congenital cytomegalovirus infection presented with focal seizures. Brain magnetic resonance imaging (MRI) demonstrated frontal pachygyria and asymmetric “tigroid” white-matter abnormalities. These MRI findings represent delayed manifestation of antenatal cytomegalovirus-related brain injury rather than progressive disease, highlighting the importance of accurate radiologic recognition to avoid misdiagnosis.

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