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Congenital muscular dystrophy with merosin deficiency: MRI findings in five patients
Authors:L Farina  L Morandi  I Milanesi  E Ciceri  M Mora  I Moroni  C Pantaleoni  M Savoiardo
Institution:(1) Department of Neuroradiology, Istituto Nazionale Neurologico C. Besta, Via Celoria 11, I-20133 Milan, Italy Tel.: +39-02-2 39 44 49 Fax: +39-02-70 63 82 17, IT;(2) Department of Neuromuscular Disorders, Istituto Nazionale Neurologico C. Besta, Milan, Italy, IT;(3) Department of Child Neurology, Istituto Nazionale Neurologico C. Besta, Milan, Italy, IT
Abstract:We present the MRI findings in five patients with congenital muscular dystrophy (CMD) and merosin (laminin α 2) deficiency, which was total in one and partial in four. In one patient with partial merosin deficiency, MRI was normal. The other four patients had supratentorial white matter abnormalities. In three, T2-weighted images revealed subcortical, deep lobar and periventricular high signal in white matter, while in the other there were only small peritrigonal areas of increased signal. On T1-weighted images, there was slightly low signal. Cortical abnormalities were absent. None of these changes were accompanied by symptoms or signs of central nervous system involvement. White matter abnormalities in a patient with CMD should prompt investigation of merosin. Received: 22 December 1997 Accepted: 22 April 1998
Keywords:Congenital muscular dystrophy  Merosin  Magnetic resonance imaging
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