The clinical features, neuroimaging, and neuropathologic findings of a
new syndrome, characterized by onset in early infancy, progressive co
urse, choreiform movements, hypotonia, and dysphagia, are described in
2 siblings originating from a consanguineous marriage, The serial neu
roimaging studies indicated progressive loss of volume of both caudate
nuclei and change in signal intensity in putamina, Pathologically, th
ere was severe neuronal loss and gliosis in the striatum and thalamus,
This pathologic pattern in association with clinical and radiologic c
orrelates, to our knowledge, has not been previously described, It app
ears that this syndrome is an autosomal recessive disorder.