“Face of giant panda” sign on MRI brain is seen in
**Core Concept**
The "Face of giant panda" sign on MRI brain is a radiological finding associated with a specific condition, characterized by a unique appearance resembling the markings on a giant panda's face. This sign is related to the involvement of certain structures in the brain, particularly in the context of a specific type of stroke or hemorrhage.
**Why the Correct Answer is Right**
The "Face of giant panda" sign is typically seen in cases of **basilar artery tip infarction** or **basilar artery occlusion**. This condition occurs when there is a blockage or occlusion of the basilar artery, which supplies blood to the brainstem and posterior cerebral circulation. The infarction or occlusion leads to a specific pattern of brain damage, resulting in the characteristic "face of giant panda" appearance on MRI, with the petechial hemorrhages and infarction in the pons and midbrain resembling the black and white markings on the giant panda's face. The basilar artery tip is particularly susceptible to occlusion due to its anatomy and the presence of atherosclerotic plaques.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because the "Face of giant panda" sign is not typically seen in cases of middle cerebral artery infarction, which would result in a different pattern of brain damage.
**Option B:** This option is incorrect because the "Face of giant panda" sign is not associated with cerebral venous sinus thrombosis, which would result in a different radiological appearance.
**Option C:** This option is incorrect because the "Face of giant panda" sign is not typically seen in cases of posterior cerebral artery infarction, which would result in a different pattern of brain damage.
**Clinical Pearl / High-Yield Fact**
The "Face of giant panda" sign is a classic radiological finding that should raise suspicion for basilar artery tip infarction or occlusion. It is essential to recognize this sign to provide timely and appropriate management, including anticoagulation and potential angioplasty or stenting.
**Correct Answer:** C.