2006
DOI: 10.1212/01.wnl.0000227960.38262.0c
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Diffusion tensor MRI shows abnormal brainstem crossing fibers associated with ROBO3 mutations

Abstract: Horizontal gaze palsy with progressive scoliosis (HGPPS) is caused by mutations in the ROBO3 gene, critical for the crossing of long ascending medial lemniscal and descending corticospinal tracts in the medulla. Diffusion tensor imaging in a patient with HGGPS revealed the absence of major pontine crossing fiber tracts and no decussation of the superior cerebellar peduncles. Mutations in the ROBO3 gene lead to a widespread lack of crossing fibers throughout the brainstem.

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Cited by 80 publications
(65 citation statements)
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“…The pons is hypoplastic and has a dorsal midline cleft with absence of the bulging contour of facial colliculi (69). Diffusion tensor imaging typically shows the absence of decussation of the corticospinal tracts, pontine sensory tracts, and superior cerebellar peduncles (70).…”
Section: Cerebellar Agenesismentioning
confidence: 99%
“…The pons is hypoplastic and has a dorsal midline cleft with absence of the bulging contour of facial colliculi (69). Diffusion tensor imaging typically shows the absence of decussation of the corticospinal tracts, pontine sensory tracts, and superior cerebellar peduncles (70).…”
Section: Cerebellar Agenesismentioning
confidence: 99%
“…DTI has recently been used to identify and characterize novel defects in axonal growth and guidance in developmental disorders, such as the absence of normally decussating pontocerebellar fibers in horizontal gaze palsy with progressive scoliosis due to mutation of the ROBO3 gene 102 and the ectopic location of pontocerebellar fibers in pontine tegmental cap dysplasia. 103 An aberrant fiber pathway known as the "asymmetric sigmoid bundle" was first identified with DTI fiber tracking in individuals with dysgenesis of the corpus callosum.…”
Section: Dti Fiber Tracking: Clinical Applicationsmentioning
confidence: 99%
“…In the rodent nervous system, orthologous Robo1 and Robo2 genes (Kidd et al, 1998a) and a structurally divergent Robo3 gene (Yuan et al, 1999) are expressed. In humans, mutations of ROBO3 impair crossing of somatosensory and motor pathways, as was demonstrated in patients with a syndrome of horizontal gaze palsy with progressive scoliosis (Jen et al, 2004;Sicotte et al, 2006;Avadhani et al, 2010;Ng et al, 2011). However, the neurodevelopmental roles of the human ROBO2 and ROBO1 genes remain unclear, apart from the suggested involvement of ROBO1 in dyslexia (Hannula-Jouppi et al, 2005) and possibly in autism (Anitha et al, 2008); the linkage between dyslexia and the genomic region (3p13) near ROBO1 has also been demonstrated in a large genome-wide scan (Fisher et al, 2002).…”
Section: Introductionmentioning
confidence: 99%