Document Detail


1H and 31P magnetic resonance spectroscopy of the brain in degenerative cerebral disorders.
MedLine Citation:
PMID:  1575459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Proton and phosphorus magnetic resonance spectroscopy of the brain was performed in 35 patients with degenerative cerebral disorders: 24 patients had demyelinating (white matter) disorders and 11 patients had neuronal (gray matter) disorders. Four grades of demyelination and three grades of cerebral atrophy were distinguished by magnetic resonance imaging criteria. The spectroscopic data were compared with normal values previously obtained. With increasing degrees of demyelination, lower ratios of phosphodiesters to beta-ATP were found. This trend was statistically significant. Decreased phosphodiester-beta-ATP ratios occurred simultaneously with imaging abnormalities. The decrease in phosphodiester-beta-ATP ratio in demyelinated areas is attributed to white matter rarefaction. Increasing cerebral atrophy was accompanied by lower ratios of N-acetyl aspartate to creatine. This trend was statistically significant. The decrease in the N-acetyl aspartate-creatine ratio was demonstrated before the magnetic resonance images showed signs of cerebral atrophy in patients with neuronal disorders. As N-acetyl aspartate is located exclusively in neurons and their branches, a decrease of the N-acetyl aspartate-creatine ratio can be attributed to neuronal and axonal damage and loss.
Authors:
M S van der Knaap; J van der Grond; P R Luyten; J A den Hollander; J J Nauta; J Valk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of neurology     Volume:  31     ISSN:  0364-5134     ISO Abbreviation:  Ann. Neurol.     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-06-01     Completed Date:  1992-06-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7707449     Medline TA:  Ann Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  202-11     Citation Subset:  IM    
Affiliation:
Department of Child Neurology, University Hospital for Children, Wilhelmina Kinderziekenhuis, Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aspartic Acid / analogs & derivatives,  analysis
Atrophy
Brain / pathology*
Brain Diseases / genetics,  pathology*
Child
Creatine / analysis
Demyelinating Diseases / genetics,  pathology*
Humans
Hydrogen
Magnetic Resonance Imaging*
Nerve Degeneration*
Neurons / pathology
Phosphorus Isotopes
Chemical
Reg. No./Substance:
0/Phosphorus Isotopes; 1333-74-0/Hydrogen; 56-84-8/Aspartic Acid; 57-00-1/Creatine; 997-55-7/N-acetylaspartate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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