胎儿大脑MRI Pyruvate脱酶复杂缺乏症中的异常
Olivier Fortin1, Kelsey Christoffel1, Abdullah B Shoaib1
1From the Zickler Family Prenatal Pediatrics Institute (O.F., K. Christoffel, K. Cilli, J.L.F.), Department of Radiology (J.W.S.), Rare Disease Institute (J.L.F.), and Center for Genetic Medicine Research (J.L.F.), Children's National Hospital, Washington, DC; Departments of Neurology and Rehabilitation Medicine (K. Christoffel), Radiology (J.W.S.), and Pediatrics (J.L.F.), George Washington University School of Medicine and Health Sciences, Washington, DC; Departments of Pediatrics (A.B.S.) and Neurology (A.B.S.), University of Texas Southwestern Medical Center, Dallas; Division of Neurology (C.V.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics (C.V.), University of Cincinnati College of Medicine, OH; Department of Radiology (C.A.), Boston Children's Hospital, MA; Division of Human Genetics (R.D.G.), Children's Hospital of Philadelphia; and Department of Pediatrics (R.D.G.), University of Pennsylvania Perelman School of Medicine, Philadelphia.
皮鲁酸脱酶复合体缺乏症 (PDCD) 胎儿大脑MRI显示体发育不良,体积减少和囊性病变. 妊娠第二季度的腺突出囊可能是PDCD的早期诊断标志物.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 是一个遗传学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 酸盐脱酶复合体缺乏症 (PDCD) 是一种遗传性线粒体代谢障碍.
- 在PDCD中记录了新生儿大脑成像,但胎儿MRI发现的理解较少.
- PDCD是由PDHA1.1等基因中的致病变体引起的.
研究的目的:
- 在PDCD中描述胎儿大脑MRI发现.
- 为了确定PDCD的潜在产前诊断标志物.
- 为了将成像检测结果与遗传检测结果相关联.
主要方法:
- 对10名被诊断患有PDCD和先前胎儿MRI的胎儿进行了回顾性审查.
- 对胎儿和新生儿成像,医疗记录和遗传检测数据的分析.
- 神经放射学家对MRI扫描进行审查,以确保一致的发现.
主要成果:
- 常见的发现包括体失生 (8/10),异常旋转 (6/10),大脑体积减少 (10/10) 和囊性病变 (9/10).
- 第二个三个月的核磁共振扫描显示了6个胎儿的质突出 (GE) 囊,在第三个三个月的扫描中没有.
- 其他发现包括心室内出血和中脑形.
结论:
- 在PDCD中胎儿MRI发现与新生儿发现相似,但在怀孕早期可能是微妙的.
- 妊娠第二季度的GE囊可以作为PDCD的早期诊断标志物.
- 通过胎儿MRI进行早期产前诊断可以指导遗传咨询和护理计划.
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