2009
DOI: 10.3174/ajnr.a1792
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White Matter Impairment in Rett Syndrome: Diffusion Tensor Imaging Study with Clinical Correlations

Abstract: BACKGROUND AND PURPOSE:RTT, caused by mutations in the methyl CPG binding protein 2 (MeCP2) gene, is a disorder of neuronal maturation and connections. Our aim was to prospectively examine FA by DTI and correlate this with certain clinical features in patients with RTT.

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Cited by 58 publications
(40 citation statements)
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“…Volumetric MRI analyses confirmed a reduction in the whole brain of MeCP2-308 mice (genotype: F(1,15) ¼ 10.81; p ¼ 0.005) (Figure 4c). In agreement with recent imaging studies, which demonstrated a reduction in corpus callosum thickness, associated with white matter pathologic features in RTT patients (Gotoh et al, 2001;Mahmood et al, 2010) (Figures 4a and b) was also found in MeCP2-308 mice. No changes were found in motor cortex of mutant mice and only a trend for increased motor cortex thickness was observed in CNF1-treated mice (F(1,8) ¼ 4.69; p ¼ 0.062) (Figure 4c).…”
Section: Cnf1-induced Brain Morphological and Metabolic Changes In Musupporting
confidence: 92%
“…Volumetric MRI analyses confirmed a reduction in the whole brain of MeCP2-308 mice (genotype: F(1,15) ¼ 10.81; p ¼ 0.005) (Figure 4c). In agreement with recent imaging studies, which demonstrated a reduction in corpus callosum thickness, associated with white matter pathologic features in RTT patients (Gotoh et al, 2001;Mahmood et al, 2010) (Figures 4a and b) was also found in MeCP2-308 mice. No changes were found in motor cortex of mutant mice and only a trend for increased motor cortex thickness was observed in CNF1-treated mice (F(1,8) ¼ 4.69; p ¼ 0.062) (Figure 4c).…”
Section: Cnf1-induced Brain Morphological and Metabolic Changes In Musupporting
confidence: 92%
“…To date, there is very little information regarding the brain white matter in RTT, although a recent investigation has evidenced a signifi cant relationship between brain white matter damage (particularly of the superior longitudinal fasciculus, one of the main association bundles connecting the external surface of temporo-parieto-occipital regions with the convexity of the frontal lobe and in part associated with phonologic speech) ( 34,35 ) and ability to speak ( 15 ).…”
Section: Discussionmentioning
confidence: 99%
“…However, in the lack of histological data, it is diffi cult to reach conclusions about the exact mechanism of the fractional anisotropy decrease observed in this patient population. Past studies have suggested axonal involvement to explain fractional anisotropy reduction, but loss of myelin has not been shown to be a contributing factor ( 15 ).…”
Section: Phenotype Severity Scoringmentioning
confidence: 99%
“…Trata-se da Síndrome de Rett, uma encefalopatia infantil crônica e progressiva que afeta, quase exclusivamente, crianças do sexo feminino. Nos casos clássi-cos, as manifestações clínicas são observadas nos primeiros meses de vida com comprometimento motor progressivo (Mahmood et al 2010).…”
Section: Introductionunclassified
“…Tanto a DE, quanto a forma clássica da Síndrome de Rett (Mahmood et al 2010), só ocorrem em fêmeas. Clinicamente, as duas enfermidades cursam com desordem neurológica crônica, acompanhada de anormalidades posturais com desvio da coluna vertebral.…”
unclassified