Distributed abnormalities of brain white matter architecture in patients with dominant optic atrophy and OPA1 mutations

Using advanced MRI techniques, we investigated the presence and topographical distribution of brain grey matter (GM) and white matter (WM) alterations in dominant optic atrophy (DOA) patients with genetically proven OPA1 mutation as well as their correlation with clinical and neuro-ophthalmologic fi...

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Veröffentlicht in:Journal of neurology 2015-05, Vol.262 (5), p.1216-1227
Hauptverfasser: Rocca, Maria A., Bianchi-Marzoli, Stefania, Messina, Roberta, Cascavilla, Maria Lucia, Zeviani, Massimo, Lamperti, Costanza, Milesi, Jacopo, Carta, Arturo, Cammarata, Gabriella, Leocani, Letizia, Lamantea, Eleonora, Bandello, Francesco, Comi, Giancarlo, Falini, Andrea, Filippi, Massimo
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container_issue 5
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container_title Journal of neurology
container_volume 262
creator Rocca, Maria A.
Bianchi-Marzoli, Stefania
Messina, Roberta
Cascavilla, Maria Lucia
Zeviani, Massimo
Lamperti, Costanza
Milesi, Jacopo
Carta, Arturo
Cammarata, Gabriella
Leocani, Letizia
Lamantea, Eleonora
Bandello, Francesco
Comi, Giancarlo
Falini, Andrea
Filippi, Massimo
description Using advanced MRI techniques, we investigated the presence and topographical distribution of brain grey matter (GM) and white matter (WM) alterations in dominant optic atrophy (DOA) patients with genetically proven OPA1 mutation as well as their correlation with clinical and neuro-ophthalmologic findings. Nineteen DOA patients underwent neurological, neuro-ophthalmologic and brainstem auditory evoked potentials (BAEP) evaluations. Voxel-wise methods were applied to assess regional GM and WM abnormalities in patients compared to 20 healthy controls. Visual acuity was reduced in 16 patients. Six DOA patients (4 with missense mutations) had an abnormal I peripheral component (auditory nerve) at BAEP. Compared to controls, DOA patients had significant atrophy of the optic nerves ( p  
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Nineteen DOA patients underwent neurological, neuro-ophthalmologic and brainstem auditory evoked potentials (BAEP) evaluations. Voxel-wise methods were applied to assess regional GM and WM abnormalities in patients compared to 20 healthy controls. Visual acuity was reduced in 16 patients. Six DOA patients (4 with missense mutations) had an abnormal I peripheral component (auditory nerve) at BAEP. Compared to controls, DOA patients had significant atrophy of the optic nerves ( p  &lt; 0.0001). Voxel-based morphometry (VBM) analysis showed that, compared to controls, DOA patients had significant WM atrophy of the chiasm and optic tracts; whereas no areas of GM atrophy were found. 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Distributed abnormalities of diffusivity indexes might reflect abnormal intracellular mitochondrial morphology as well as alteration of protein levels due to OPA1 mutations.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25794858</pmid><doi>10.1007/s00415-015-7696-5</doi><tpages>12</tpages></addata></record>
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subjects Adult
Anisotropy
Atrophy
Diagnostic Techniques, Ophthalmological
Diffusion Magnetic Resonance Imaging
Electroencephalography
Evoked Potentials, Auditory - genetics
Evoked Potentials, Auditory - physiology
Female
GTP Phosphohydrolases - genetics
Humans
Magnetic resonance imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Mitochondrial DNA
Mutation
Mutation - genetics
Neurologic Examination
Neurology
Neuroradiology
Neurosciences
Ophthalmology
Optic Atrophy, Autosomal Dominant - genetics
Optic Atrophy, Autosomal Dominant - pathology
Optic nerve
Original Communication
Proteins
Statistics, Nonparametric
White Matter - pathology
Young Adult
title Distributed abnormalities of brain white matter architecture in patients with dominant optic atrophy and OPA1 mutations
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