case_images: PMC11007168_01
case_images: Hypopigmented macula: diagnosed as vitiligo by dermatology specialist.
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case_images: F1
case_images: While a dermatological examination revealed a single hypopigmented macule in the right cervical region, resulting in a diagnosis of segmental-unisegmental vitiligo (Figure 1).
case_images: MRI of the spine: the presence of the lumbosacral transition vertebra as the sixth lumbar vertebra is evidenced. There is a right rotoscoliosis with a 22  Cobb angle between L1 and L4. With rectification of the physiological curve of the spine in the dorsal and lumbar region and inversion of the cervical lordotic curve.
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case_images: F2
case_images: Additionally, imaging studies were equally complex; contrast-enhanced computed tomography (CT) scans of the head indicated cortical atrophy and plagiocephaly, and lumbar scoliosis with a left convexity of 22 degrees between L1 and L5, and thoracic scoliosis with a right convexity of 20 degrees between T6 and T12, were observed in radiography and magnetic resonance imaging of the spine (Figure 2).
case_images: T1 and T2 weighted brain MRI: plagiocephaly, cortical atrophy, involvement of the white matter and frontal lobes is observed. Generalized increase in the amplitude of the subarachnoid space and ventricular system.
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case_images: F3
case_images: Brain magnetic resonance imaging (MRI) disclosed progressive abnormalities involving the frontal lobes, as well as an expanded subarachnoid space and ventricular system (Figure 3).