MR imaging and 1H-MR spectroscopy of a case of van der Knaap disease.

Abstract:

:Van der Knaap disease, characterized by megalencephalic leukoencephalopathy and subcortical cysts, is a rare and recently defined condition. We discuss here the MR image (MRI) and MR spectroscopy (MRS) features in a 30-year-old man with S93L homozygous mutation in the MLC1 gene. MRI demonstrated high intensity diffuse white matter with T2-weighted image and subcortical cysts in the parietal and temporal lobes and MRS showed mildly reduced N-acetylaspartate (NAA) in areas of severe T2 elongation with a long TE sequence. A peak of lactate/lipid was indicated at a chemical shift of 1.3 ppm with a short TE sequence. The peak for myo-inositol was normal in areas of severe and mild T2 elongation with short TE MRS. These findings suggest that demyelination progresses slowly in van der Knaap disease and that MRS with long and short TE is useful for the evaluation of neural metabolization associated with van der Knaap disease.

journal_name

Brain Dev

journal_title

Brain & development

authors

Morita H,Imamura A,Matsuo N,Tatebayashi K,Omoya K,Takahashi Y,Tsujino S

doi

10.1016/j.braindev.2005.12.006

keywords:

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

466-9

issue

7

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(06)00016-7

journal_volume

28

pub_type

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