1981
DOI: 10.1148/radiology.138.2.7455118
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The evolution of white matter disease as seen on computed tomography.

Abstract: The evolving computed tomographic (CT) findings in three patients with different types of dysmyelinating white matter diseases (Krabbe, Canavan, ketotic hyperglycinemia) are presented. Serial CT scans suggested that the abnormal, low density white matter, which is characteristic of many white matter diseases, is present for only a limited time, corresponding to active dys- or demyelination. The low density abnormality gives way to a nonspecific final common pathway manifested as severe atrophy on CT. Ventricul… Show more

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Cited by 32 publications
(17 citation statements)
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“…MR consistently depicted more lesions per patient than did CT in this category of patients. This sensitivity of long TR images is well described in the MR literature, [7] and as is also apparent from the CT and pathologic literature, [8] the dysmyelinating disorders demonstrated diffuse confluent high signal intensity in the white matter on long TR spin-echo images. We did not have any patients with a biochemically or biopsy-proved dysmyelinating disorder with patchy or focal white matter changes.…”
Section: Discussionsupporting
confidence: 59%
“…MR consistently depicted more lesions per patient than did CT in this category of patients. This sensitivity of long TR images is well described in the MR literature, [7] and as is also apparent from the CT and pathologic literature, [8] the dysmyelinating disorders demonstrated diffuse confluent high signal intensity in the white matter on long TR spin-echo images. We did not have any patients with a biochemically or biopsy-proved dysmyelinating disorder with patchy or focal white matter changes.…”
Section: Discussionsupporting
confidence: 59%
“…On follow-up scans, the increased density in the thalami persisted as white-matter abnormalities, and atrophy appeared ( figs. 1 , 2, and 4) [5].…”
Section: Resultsmentioning
confidence: 98%
“…The etiology of symmetric density on CT has not been explained histologically, but it could represent transient alteration in the ratio of lipid, water, and protein [4] Of the eight reported cases [5][6][7][8][9], including three of our own, a white-matter abnormality was not detected on early scans in five; this reflects the timing of the CT scan with respect to the pathologic progression of the disease. Like- …”
Section: Resultsmentioning
confidence: 99%
“…The latter is recognized as part of the general evolution of the white matter disease. 21 Post-mortem MR examination has recently been established as an appropriate tool for the investigation of MR-pathological correlations. 12 ' 22 " 24 The results in our case showing wide areas of prolonged Tl and T2 relaxation times in the white matter confirm previous MR-pathological correlations in patients with BD submitted to MR ante-mortem."…”
Section: Pathologic Studymentioning
confidence: 99%