Diffusion-weighted MR imaging and MR spectroscopy in glutaric aciduria type 1

KK Oguz, A Ozturk, A Cila - Neuroradiology, 2005 - Springer
KK Oguz, A Ozturk, A Cila
Neuroradiology, 2005Springer
Although conventional magnetic resonance imaging (MRI) findings of glutaric aciduria type
1 (GA-1) have been well established, diffusion weighted MR imaging (DWI) and proton MR
spectroscopy (MRS) findings are limited. We report widespread restricted diffusion in the
white matter and increased diffusion in bilateral putamen in a case of GA-1. The MRS
showed decreased N-acetyl-aspartate (NAA)/creatine (Cr) ratio compared with a sex and
age-matched control with no significant change in choline (Cho)/Cr ratio. The presence of …
Abstract
Although conventional magnetic resonance imaging (MRI) findings of glutaric aciduria type 1 (GA-1) have been well established, diffusion weighted MR imaging (DWI) and proton MR spectroscopy (MRS) findings are limited. We report widespread restricted diffusion in the white matter and increased diffusion in bilateral putamen in a case of GA-1. The MRS showed decreased N-acetyl-aspartate (NAA)/creatine (Cr) ratio compared with a sex and age-matched control with no significant change in choline (Cho)/Cr ratio. The presence of the lactate peak reflecting disturbed mitochondrial functions in this disease has never been reported.
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