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Intracranial calcification in children with osteopetrosis caused by carbonic anhydrase II deficiency
Insights
Carbonic anhydrase II deficiency causes intracranial calcification in children, appearing after birth and progressing over time. This finding aids in diagnosing this rare genetic disorder.
Area of Science:
- Pediatric Radiology
- Neurogenetics
- Metabolic Disorders
Background:
- Carbonic anhydrase II deficiency is a rare autosomal recessive syndrome.
- Key features include osteopetrosis, renal tubular acidosis, developmental retardation, and intracranial calcification.
- Intracranial calcification pattern resembles that seen in hypoparathyroidism.
Purpose of the Study:
- To evaluate the characteristics of intracranial calcification in children with carbonic anhydrase II deficiency.
- To describe the onset, progression, and location of calcification.
Main Methods:
- Retrospective review of radiographs from 18 children diagnosed with carbonic anhydrase II deficiency.
- Assessment of intracranial calcification patterns, including location and age of onset.
Main Results:
- Intracranial calcification was observed in children with carbonic anhydrase II deficiency.
- Calcification was located in the gray matter of the cortex and basal ganglia.
- Calcification was not congenital, appearing between 2-5 years of age and increasing with age.
Conclusions:
- Intracranial calcification is a significant radiological finding in carbonic anhydrase II deficiency.
- The pattern and age-dependent progression of calcification are characteristic.
- Radiographic assessment aids in the diagnosis and understanding of this syndrome.
Abstract:
Radiographs of 18 children thought to have carbonic anhydrase II deficiency were reviewed to assess intracranial calcification. These children have an autosomal recessive syndrome consisting of osteopetrosis, renal tubular acidosis, intracranial calcification, and developmental retardation. This calcification is in the gray matter of cortex and basal ganglia and is similar, if not identical, to that seen in hypoparathyroidism and pseudohypoparathyroidism. It is not present at birth but appears at approximately 2-5 years of age and increases in density and extent through childhood.
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