Imaging of Inherited Metabolic and Endocrine Disorders

Anna V Trofimova1, Kartik M Reddy1

  • 1Children's Healthcare of Atlanta, Radiology Department, 1405 Clifton Road NE, Atlanta, GA 30322, USA; Emory University, Department of Radiology and Imaging Sciences, 1364 Clifton Road NE, Atlanta, GA, 30322, USA.

Clinics in Perinatology
|September 16, 2022
PubMed

Insights

Neonatal onset inherited metabolic disorders cause severe, rapid decompensation requiring urgent diagnosis. This review covers classification and clinical/imaging findings for prompt management to prevent brain injury.

Area of Science:

  • Medical Genetics
  • Pediatric Neurology
  • Neonatology

Background:

  • Inherited metabolic disorders (IMDs) are a significant cause of neonatal illness.
  • Approximately 25% of IMDs manifest in the neonatal period with acute, severe symptoms.
  • Neonatal presentation often indicates profound metabolic derangement and high risk of adverse outcomes.

Purpose of the Study:

  • To review the classification of IMDs presenting in neonates.
  • To outline the clinical and imaging findings associated with these disorders.
  • To emphasize the importance of rapid diagnosis and management in the neonatal period.

Main Methods:

  • Literature review of IMDs with neonatal presentation.
  • Synthesis of classification systems for metabolic and endocrine disorders.
  • Compilation of characteristic clinical and neuroimaging findings.

Main Results:

  • IMDs present a diverse spectrum of clinical manifestations and imaging abnormalities in neonates.
  • Early recognition of nonspecific signs is crucial for timely diagnosis.
  • Specific diagnostic criteria and imaging patterns aid in identifying affected infants.

Conclusions:

  • Neonatal onset IMDs require prompt recognition and intervention to mitigate severe neurological sequelae.
  • Understanding the classification and presentation is key for effective clinical management.
  • Multidisciplinary approach is essential for optimizing outcomes in affected neonates.

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