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Published on: June 26, 2013
Neuroimaging in Menkes Disease
Molla I Ahmed1, Nahin Hussain2
1Department of Paediatrics, University Hospitals of Leicester, Leicester, United Kingdom.
Abstract:
Menkes disease (MD) is a rare infantile onset neurodegenerative disorder due to mutations in the X linked ATP7A gene. These patients can present with failure to thrive, severe psychomotor retardation, seizures and hypopigmented hair, which is characteristic of this condition. A number of neuro-radiological findings have been reported in this condition. We report the spectrum of neuro-radiological findings in three affected boys being treated at our centre. We suggest that magnetic resonance imaging (MRI) and, in particular magnetic resonance angiography (MRA) when taken in the context of the clinical presentation may be helpful in making an early diagnosis of this devastating condition.
Insights
Menkes disease, a rare neurodegenerative disorder, presents unique neuroimaging findings. Magnetic resonance imaging (MRI) and angiography (MRA) aid in early diagnosis of this condition.
Area of Science:
- Genetics
- Neurology
- Radiology
Background:
- Menkes disease (MD) is a rare, X-linked neurodegenerative disorder caused by mutations in the ATP7A gene.
- Clinical manifestations include failure to thrive, psychomotor retardation, seizures, and characteristic hypopigmented hair.
- Neuro-radiological findings are documented but a comprehensive spectrum is often not detailed.
Observation:
- Patients exhibit failure to thrive, psychomotor retardation, seizures, and hypopigmented hair.
- Neuro-radiological findings are common in affected individuals.
- This study details the neuro-radiological spectrum in three pediatric patients.
Findings:
- Magnetic resonance imaging (MRI) reveals characteristic abnormalities.
- Magnetic resonance angiography (MRA) provides valuable insights.
- Combined clinical and imaging findings aid in diagnosis.
Implications:
- Early and accurate diagnosis of Menkes disease is facilitated by MRI and MRA.
- Understanding the neuro-radiological spectrum improves patient management.
- This approach can lead to better outcomes for affected children.
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