2012
DOI: 10.1007/s12098-012-0794-9
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Radiological Clue to Diagnosis of Canavan Disease

Abstract: Canavan disease is an autosomal recessive leukodystrophy characterized by early onset developmental delay, initial hypotonia progressing to hypertonia, macrocephaly and blindness. The authors present an infant with these clinical features. MRI brain shows white matter changes with characteristic involvement of subcortical U fibres and MR spectroscopy shows the characteristic peak of N- acetyl aspartate. The importance of specific clinical features and imaging in the diagnosis of different leukodystrophies in r… Show more

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Cited by 8 publications
(5 citation statements)
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“…The nuclear magnetic resonance (RMN) was performed after admission, revealing widespread alteration of white matter with symmetrical involvement of the subcortical U-fibres, nucleus, pallidum, thalamus, optic radiations, substantia nigra and brainstem (figure 2). The RMN spectroscopy of semioval centres revealed an increased acid N -acetylaspartate/choline (NAA/Cho) and acid N -acetylaspartate/creatinine ratio, suggesting a CS diagnosis,2 which was confirmed through the analysis of the ASPA gene, detecting the mutations p.A305E and p.A7Vdel8_69. We are firmly convinced of the possibility of increasing the number of early diagnoses of CS considering the following neonatal signs: progressive macrocephaly already present during the neonatal period and neurological deterioration.…”
Section: Case Presentationmentioning
confidence: 88%
“…The nuclear magnetic resonance (RMN) was performed after admission, revealing widespread alteration of white matter with symmetrical involvement of the subcortical U-fibres, nucleus, pallidum, thalamus, optic radiations, substantia nigra and brainstem (figure 2). The RMN spectroscopy of semioval centres revealed an increased acid N -acetylaspartate/choline (NAA/Cho) and acid N -acetylaspartate/creatinine ratio, suggesting a CS diagnosis,2 which was confirmed through the analysis of the ASPA gene, detecting the mutations p.A305E and p.A7Vdel8_69. We are firmly convinced of the possibility of increasing the number of early diagnoses of CS considering the following neonatal signs: progressive macrocephaly already present during the neonatal period and neurological deterioration.…”
Section: Case Presentationmentioning
confidence: 88%
“…In order to improve the quality of life, symptomatic and early supportive therapy was implemented and thorough genetic family counselling was also done. 3…”
Section: Case Presentationmentioning
confidence: 99%
“…On the ultrastructural level, swollen astrocytic mitochondria are present as well as disruption of the myelin sheath order [119]. On MRI (magnet resonance imaging) T2 sequences, hyperintensity of mainly the white matter is characteristic, not only for leukodystrophy in general, but for Canavan disease as well [122, 123]. This hyperintensity is due to water accumulation within the subcortical areas.…”
Section: Amino Acid Metabolism Disordermentioning
confidence: 99%