Document Detail

White Matter Changes in an Untreated, Newly Diagnosed Case of Classical Homocystinuria.
MedLine Citation:
PMID:  23155204     Owner:  NLM     Status:  Publisher    
The authors report the case of a 4-year-old boy who developed progressive unilateral weakness and developmental delays prior to his diagnosis of classical homocystinuria. Magnetic resonance imaging (MRI) of the brain demonstrated diffuse white matter changes, raising the concern for a secondary diagnosis causing leukoencephalopathy, since classical homocystinuria is not typically associated with these changes. Other inborn errors of the transsulfuration pathway have been reported as causing these changes. Once begun on therapy for his homocystinuria, his neurologic deficits resolved and his delays rapidly improved. Repeat MRI performed one year after instating therapy showed resolution of his white matter abnormalities. This case illustrates the need to consider homocystinuria and other amino acidopathies in the differential diagnosis of childhood white matter diseases and lends weight to the hypothesis that hypermethioninemia may induce white matter changes.
J Nicholas Brenton; Julie A Matsumoto; Robert S Rust; William G Wilson
Related Documents :
23487524 - The efficacy of magnetic resonance imaging and x-ray in the evaluation of response to r...
24282694 - Coronary ct angiography with prospective ecg-triggering: an effective alternative to in...
25300974 - Spot sign on 90-second delayed computed tomography angiography improves sensitivity for...
23805904 - Fdg-pet/ct for assessment of response to brentuximab vedotin treatment in relapsed and ...
8315714 - Differentiation of slow flow from thrombus in thoracic magnetic resonance imaging, emph...
22983794 - Pet/mr for therapy response evaluation in malignant lymphoma: initial experience.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-15
Journal Detail:
Title:  Journal of child neurology     Volume:  -     ISSN:  1708-8283     ISO Abbreviation:  J. Child Neurol.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1University of Virginia, Charlottesville, VA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Coma Blisters in Children: Case Report and Review of the Literature.
Next Document:  Childhood Polyarteritis Nodosa Presenting With Central Nervous System Manifestations and the Posteri...