Progressive atrophy of the cerebrum in 2 Japanese sisters with microcephaly with simplified gyri and enlarged extraaxial space
Autor: | Mitsutoshi Munakata, A. Kikuchi, Naomi Hino-Fukuyo, Mitsuhiro Kato, Kazuhiro Haginoya, Mieko Hirose, Mitsugu Uematsu, Toshiyuki Yamamoto, Kazuie Iinuma, Hiroyuki Yokoyama, Shigeru Tsuchiya |
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Rok vydání: | 2011 |
Předmět: |
Microcephaly
Ganglionic eminence Thalamus White matter Atrophy Japan Basal ganglia Medicine Humans Cerebrum business.industry Siblings Infant General Medicine Anatomy medicine.disease Magnetic Resonance Imaging Hypoplasia medicine.anatomical_structure nervous system Child Preschool Pediatrics Perinatology and Child Health Female Neurology (clinical) business |
Zdroj: | Neuropediatrics. 42(4) |
ISSN: | 1439-1899 |
Popis: | This is a case report that describes 2 sisters with microcephaly, simplified gyri, and enlarged extraaxial space. Clinical features of the cases include dysmorphic features, congenital microcephaly, failure of postnatal brain growth, neonatal onset of seizures, quadriplegia, and severe psychomotor delay. Neuroradiological imaging demonstrated hypoplasia of bilateral cerebral hemispheres with enlarged extraaxial spaces, simplified gyral patterns without a thickened cortex, hypoplastic corpus callosum, and enlarged lateral ventricles, with a reduction in gray and white matter volume during the prenatal and neonatal periods. Repeat MRI revealed progressive atrophy of the cerebral gray and white matter, with enlarged lateral ventricles, although the sizes of the bilateral basal ganglia, thalamus, and infratentorial structures were relatively preserved. These neuroradiological findings imply that this disease is caused by the gene involved in neuronal and glial proliferation in the ventricular zone and in tangential neuronal migration from the ganglionic eminence. The nature of the progressive degeneration of the hemispheric structures should be clarified. |
Databáze: | OpenAIRE |
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