Tiger eye sign on MRI is seen in –
**Core Concept**
Halloverden-Spatz disease, also known as neurodegeneration with brain iron accumulation (NBIA), is a group of rare genetic disorders characterized by the accumulation of iron in the brain, leading to progressive neurodegeneration. The disease is associated with abnormalities in mitochondrial iron transport and storage.
**Why the Correct Answer is Right**
The "tiger eye" sign on MRI refers to the appearance of a characteristic pattern of increased signal intensity on T2-weighted images in the globus pallidus and substantia nigra due to iron accumulation. This sign is particularly characteristic of Halloverden-Spatz disease, which is a type of NBIA. The iron accumulation leads to a loss of normal signal intensity in these regions, creating a distinctive "tiger eye" appearance.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because, although CHPS is another type of NBIA, it is not typically associated with the "tiger eye" sign. CHPS is characterized by a different pattern of iron accumulation and is not as commonly associated with this specific MRI finding.
**Option B:** This option is incorrect because Achalasia Cardia is a motility disorder of the esophagus and is not related to iron accumulation in the brain. It would not be associated with the "tiger eye" sign on MRI.
**Option C:** This option is incorrect because, although it is a condition that affects the esophagus, it does not involve iron accumulation in the brain and therefore would not be associated with the "tiger eye" sign.
**Clinical Pearl / High-Yield Fact**
When interpreting MRI findings in patients with neurodegenerative diseases, it is essential to be aware of the characteristic patterns of iron accumulation associated with different conditions, such as the "tiger eye" sign in Halloverden-Spatz disease.
β Correct Answer: A. Halloverden spatz disease