Mystery Case: Bilateral alopecia as clue to diagnosis of Gomez-Lopez-Hernandez syndrome in a 38-year-old man

A 38-year-old man with a diagnosis of cerebral palsy had MRI for headache. This showed hydrocephalus with aqueductal stenosis and a hypoplastic cerebellum (figure 1). On detailed examination, bilateral triangular patches of alopecia (figure 2) stood out. Subsequently, absent corneal reflexes were found, while careful review of the imaging revealed rhombencephalosynapsis (RES).