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CLIPPERS-SYNDROME – A NEUROLOGICAL ORPHAN DISORDER

https://doi.org/10.52485/19986173_2026_2_208

Abstract

CLIPPERS syndrome is a rare chronic inflammatory disease of the central nervous system, predominantly affecting the brainstem and cerebellum. Its pathognomonic radiological sign is multiple punctate and linear contrast-enhancing foci in the pons (the "salt-and-pepper" sign), detected on contrast-enhanced magnetic resonance imaging. Diagnosis is challenging due to the condition's rarity and low awareness among physicians. A key feature of the syndrome is its pronounced positive response to corticosteroid therapy. Presented clinical case ample emphasizes the importance of timely recognition of this treatable pathology for initiating effective treatment.

About the Authors

Yu. N. Bykov
Irkutsk State Medical University
Russian Federation

Yury Nikolaevich Bykov, Doctor of Medical Sciences, Professor, Head of the Department of Nervous Diseases 

1, Krasnogo Vosstaniya St., Irkutsk, Russia, 664003



E. I. Panferova
Irkutsk State Medical University
Russian Federation

Elena Igorevna Panferova, clinical resident of the Department of Nervous Diseases 

1, Krasnogo Vosstaniya St., Irkutsk, Russia, 664003



Yu. A. Skvortsova
Irkutsk State Medical University
Russian Federation

Yulia Alekseevna Skvortsova, clinical resident of the Department of Nervous Diseases 

1, Krasnogo Vosstaniya St., Irkutsk, Russia, 664003



T. B. Bender
Irkutsk State Medical University
Russian Federation

Tatiana Borisovna Bender,  Candidate  of  Medical  Sciences,  Associate  Professor  of  the  Department  of  Nervous Diseases

1, Krasnogo Vosstaniya St., Irkutsk, Russia, 664003



T. N. Zagvozkina
Clinics of the Irkutsk State Medical University
Russian Federation

Tatiana Nikolaevna Zagvozkina, Head of the Neurological Department of the Clinics 

18, Gagarin Blv., Irkutsk, Russia, 664003



I. V. Anikina
Clinics of the Irkutsk State Medical University
Russian Federation

Irina Viktorovna Anikina, neurologist of the Neurological Department

18, Gagarin Blv., Irkutsk, Russia, 664003



References

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Review

For citations:


Bykov Yu.N., Panferova E.I., Skvortsova Yu.A., Bender T.B., Zagvozkina T.N., Anikina I.V. CLIPPERS-SYNDROME – A NEUROLOGICAL ORPHAN DISORDER. Transbaikalian Medical Bulletin. 2026;(2):208-217. (In Russ.) https://doi.org/10.52485/19986173_2026_2_208

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ISSN 1998-6173 (Online)