共查询到20条相似文献,搜索用时 15 毫秒
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dos Santos AV Matias S Saraiva P Goulão A 《AJNR. American journal of neuroradiology》2006,27(6):1382-1383
We report the case of a child with horizontal gaze palsy, pendular nystagmus, and discrete thoracolumbar scoliosis. MR imaging of the brain depicted pons hypoplasia with an absence of the facial colliculi, hypoplasia, butterfly configuration of the medulla, and the presence of a deep midline pontine cleft (split pons sign). These MR imaging findings suggest familial horizontal gaze palsy with progressive kyphoscoliosis, a rare congenital disorder. To the best of our knowledge, MR imaging findings of only 4 similar cases, with or without progressive idiopathic scoliosis, have been reported. We discuss the pathogenesis substratum of this entity. Early recognition of this rare entity is important if supportive therapeutic measures in progressive scoliosis are to be applied. 相似文献
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Hassan Ali AlSayegh Zahraa Ahmed AlSubaie Hesham Jassim AlRamadhan Qasem Mohammed AlAlwan Hani Ali Almohammed Ali Jaafar AlObaid 《Radiology Case Reports》2022,17(9):3132
Horizontal gaze palsy with progressive scoliosis is a rare entity with few cases in the literature. Despite the fact the patient will not present with typical symptoms of this syndrome, clinical suspicion should be raised particularly in terms of imaging findings. Imaging findings are characteristic to flag the possibility of this syndrome. Keeping in mind such congenital abnormalities on magnetic resonance imaging particularly for radiologists might help in the management process. Multidisciplinary teams play a crucial role in terms of communication to find the clinical, radiological and genetic studies to reach the diagnosis.Keywords: Horizontal gaze palsy with progressive scoliosis, ROBO3 gene, Magnetic resonance imaging 相似文献
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Introduction Horizontal gaze palsy with progressive scoliosis (HGPPS) is an autosomal recessive disease due to a mutation in the ROBO3
gene. This rare disease is of particular interest because the absence, or at least reduction, of crossing of the ascending
lemniscal and descending corticospinal tracts in the medulla predicts abnormal ipsilateral sensory and motor systems.
Methods We evaluated the use of functional magnetic resonance imaging (fMRI) for the first time in this disease and compared it to
diffusion tensor imaging (DTI) tractography and neurophysiological findings in the same patient with genetically confirmed
ROBO3 mutation.
Results As expected, motor fMRI, somatosensory evoked potentials (SSEP) and motor evoked potentials (MEP) were dominantly ipsilateral
to the stimulation side. DTI tractography revealed ipsilateral ascending and descending connectivity in the brainstem yet
normal interhemispheric connections in the corpus callosum. Auditory fMRI revealed bilateral auditory activation to monaural
left-sided auditory stimulation. No significant cortical activation was observed after monaural right-sided stimulation, a
hearing defect having been excluded. Prosaccades fMRI showed no activations in the eye-movement network.
Conclusion Motor fMRI confirmed the established findings of DTI and neurophysiology in the same patient. In suspected HGPPS, any technique
appears appropriate for further investigation. Auditory fMRI suggests that a monaural auditory system with bilateral auditory
activations might be a physiological advantage as compared to a binaural yet only unilateral auditory system, in analogy to
anisometropic amblyopia. Moving-head fMRI studies in the future might show whether the compensatory head movements instead
of normal eye movements activate the eye-movement network. 相似文献
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M Savoiardo L Strada F Girotti L D'Incerti M Sberna P Soliveri L Balzarini 《Journal of computer assisted tomography》1989,13(4):555-560
Previous reports have suggested that putaminal hypointensity in T2-weighted images at high field strength (1.5 T) magnetic resonance (MR) is a common finding in atypical parkinsonian syndromes, including progressive supranuclear palsy (PSP) and Shy-Drager syndrome (SDS). We have reviewed nine patients with PSP and five with SDS, selected on strict clinical criteria. Only in one PSP patient was abnormal signal intensity (putaminal hypointensity more marked than pallidal) found. However, hypointensity was often marked in the substantia nigra and occasionally in the superior colliculi. Focal midbrain atrophy, involving particularly the upper part of the quadrigeminal plate, was obvious in five cases. In general there was no uniformity of findings and MR appears unable to consistently support the clinical diagnosis of PSP. In SDS patients the findings were more uniform, with hypointensity in the putamen, superior or equal to that of the pallidum. At low or intermediate field strength, there was absence of magnetic susceptibility effect in the putamen, which appeared hyperintense. This was probably because of increased water content due to gliosis and/or cell loss. The constancy of the MR findings in our SDS series suggests a supportive diagnostic role for MR imaging. 相似文献
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Childhood scoliosis: MR imaging 总被引:2,自引:0,他引:2
Nokes SR; Murtagh FR; Jones JD d; Downing M; Arrington JA; Turetsky D; Silbiger ML 《Radiology》1987,164(3):791-797
The spinal cords of 28 scoliosis patients between the ages of 1 month and 17 years were examined with magnetic resonance (MR) imaging. Complete visualization was obtained in all cases. In 15 patients (53%) neuropathologic abnormalities demonstrated by MR imaging significantly affected their clinical course, including tethered cords (n = 7), syringomyelia (n = 5), Arnold-Chiari I malformation (n = 4), spinal cord tumors (n = 2), Arnold-Chiari II malformation (n = 3), and diastematomyelia (n = 1). The advantages of MR imaging in the evaluation of the scoliotic spine in children include a high sensitivity for the occult conditions associated with scoliosis, good anatomic demonstration of the cord, and absence of bone artifacts. MR imaging is recommended as a primary imaging modality in scoliosis, following conventional radiography. 相似文献
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MR imaging in progressive multifocal leukoencephalopathy 总被引:5,自引:0,他引:5
The MR imaging appearance of progressive multifocal leukoencephalopathy is described in four cases that were confirmed by brain biopsy. Characteristic aspects are long T1 and long T2 lesions limited to white matter. At first the lesions are round or oval, then confluent and large. There is no mass effect. The involvement is most often asymmetric and distant from the periventricular region. The differential diagnosis includes other diseases affecting white matter: demyelination, infarction, infection, and tumors. 相似文献
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Atypical idiopathic scoliosis: MR imaging evaluation 总被引:4,自引:0,他引:4