2017
DOI: 10.3174/ajnr.a5192
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Neuroimaging Changes in Menkes Disease, Part 2

Abstract: SUMMARY: This is the second part of a retrospective and review MR imaging study aiming to define the frequency rate, timing, imaging features, and evolution of gray matter changes in Menkes disease, a rare multisystem X-linked disorder of copper metabolism characterized by early, severe, and progressive neurologic involvement. According to our analysis, neurodegenerative changes and focal basal ganglia lesions already appear in the early phases of the disease. Subdural collections are less common than generall… Show more

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Cited by 30 publications
(17 citation statements)
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“…Other features include subdural effusion, hematoma and hygroma, leukoencephalopathy, basal ganglia signal changes, and intracranial vessel tortuosity, focal tumefactive white matter lesions on MRI are especially seen before ten months of age. Hyperintense drop-shaped lesions in centrum semiovale, with restricted diffusion, also have been reported (12) (13) .…”
Section: International Journal Of Medical and Biomedical Studies (Ijmbs)mentioning
confidence: 81%
“…Other features include subdural effusion, hematoma and hygroma, leukoencephalopathy, basal ganglia signal changes, and intracranial vessel tortuosity, focal tumefactive white matter lesions on MRI are especially seen before ten months of age. Hyperintense drop-shaped lesions in centrum semiovale, with restricted diffusion, also have been reported (12) (13) .…”
Section: International Journal Of Medical and Biomedical Studies (Ijmbs)mentioning
confidence: 81%
“…S2I). Neurodegeneration and cerebral arterial tortuosity are phenotypes present in all patients affected by Menkes disease (Kaler, 2013; Manara et al, 2017a; Manara et al, 2017b). These bioinformatic results demonstrate that genealogical proteomics datasets contain sufficient information to predict clinical traits which are diagnostic of genetic diseases of copper metabolism.…”
Section: Resultsmentioning
confidence: 99%
“…Diagnosis is hinged upon characteristic clinical features; lab findings of low serum copper and ceruloplasmin; EEG features of focal spikes with subsequent secondary generalization [17]; MRI brain evidence of vascular anomalies, myelination delays, and neurodegenerative changes [18][19][20]; as well as absolute confirmation via genetic analysis. Disease prognosis remains poor, with most children dying by 3 years of age after respiratory tract infections.…”
Section: Discussionmentioning
confidence: 99%