The “toenail sign” in MELAS may be the end-stage of a stroke-like lesion

We read with interest the article by Kuwabara et al. about an 11 years-old male with MELAS syndrome due to the variant m.3243A>G who presented on cerebral MRI with gyral necrosis and cerebral atrophy compared to images three years earlier.[1] We have the following comments.

Source: Pediatric Neurology - November 23, 2018 Category: Neurology Authors: Josef Finsterer Tags: Correspondence Source Type: research