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Mystery Case - Answers Due June 10, 2019

Neurology® Resident & Fellow Mystery Case

May 13, 2019

New Mystery Case!

A 38-year-old man with hair loss and cerebral palsy

Adapted from a Teaching NeuroImage by C Kronlage and DG Healy. This case will be published in full format in the August 27, 2019, issue of Neurology. Please enter your demographic details at the end of the Mystery Case to help us better track responses (demographic information will remain anonymous). To receive recognition for your responses, enter your name and affiliation (optional). This information may be displayed, along with your number of correct answers, on the public website if you enter the most correct answers within one year.


A 38-year-old man with a historic diagnosis of ‘cerebral palsy’ underwent an MRI for headache (Figure 1). On clinical examination, he was found to have bilateral triangular patches of alopecia (Figure 2) and absent corneal reflexes.

Figure 1

Figure 2

1. Which abnormalities are demonstrated in Figure 1? (Choose 3) *This question is required.