Radiological examinations and neuroimaging.

A, Left hand at the age of 4.1 years: mild metaphyseal flaring of distal radius and ulna; shortening of the distal ulna; short metacarpal I; pseudoepiphyses of metacarpals II and V, shortness of the middle and distal phalanges; clinodactyly of the little finger, bone age was retarded (11 months). B, Left knee at the age of 5.7 years: V-shaped flare of the distal femoral metaphyses; triangular shape of the distal femoral epiphyses. C, Hip at the age of 5.7 years: high and narrow pelvis with broad cranial parts of the ischia; irregular metaphyses of the proximal femur; coxa vara. D, Brain MRI at the age of 5.9 years: bilateral occlusion of the intracranial internal carotid artery and the middle cerebral arteries and occlusion of the right anterior cerebral artery, prominent moyamoya collaterals; E, Brain MRI at the age of 5.7 years: old infarcts in the right white matter region.