Fast Progression of Cerebellar Atrophy in PLA2G6-Associated Infantile Neuronal Axonal Dystrophy

Infantile neuronal axonal dystrophy (INAD) is characterized by progressive cerebellar atrophy. MRI has been recommended as a marker of disease progression in cerebellar diseases. We performed a longitudinal brain volumetry study in a couple of bicorial twins with PLA2G6 -positive INAD. Brain volumet...

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Veröffentlicht in:Cerebellum (London, England) England), 2017-06, Vol.16 (3), p.742-745
Hauptverfasser: Mascalchi, Mario, Mari, Francesco, Berti, Beatrice, Bartolini, Emanuele, Lenge, Matteo, Bianchi, Andrea, Antonucci, Laura, Santorelli, Filippo M., Garavaglia, Barbara, Guerrini, Renzo
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container_title Cerebellum (London, England)
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creator Mascalchi, Mario
Mari, Francesco
Berti, Beatrice
Bartolini, Emanuele
Lenge, Matteo
Bianchi, Andrea
Antonucci, Laura
Santorelli, Filippo M.
Garavaglia, Barbara
Guerrini, Renzo
description Infantile neuronal axonal dystrophy (INAD) is characterized by progressive cerebellar atrophy. MRI has been recommended as a marker of disease progression in cerebellar diseases. We performed a longitudinal brain volumetry study in a couple of bicorial twins with PLA2G6 -positive INAD. Brain volumetry was calculated with FreeSurfer software on 3T T1-weighted images acquired at age 28 ( t 0 ) and 36 months ( t 1 ) in patient 1 and at age 22 ( t 0 ) and 31 months ( t 1 ) in patient 2. Data at t 0 were compared to those obtained in 18 control children aged 14–44 months with normal MRI. At t 0 , both patients showed markedly lower cerebellar volume compared to controls. At t 1 , both patients exhibited a remarkable decrease of cerebellar volume (−25.8% in patient 1; −16.5% in patient 2) and of frontal (−6.8% in patient 1 and −3.3% in patient 2) and occipital (−9.8% in patient 1 and −9.1% in patient 2) cortical GM volume. Our MRI morphometry study indicates that INAD is characterized by a remarkably fast progression of cerebellar atrophy and mild atrophy of the frontal and occipital cortex presumably secondary to deafferentation in the cortical-pons-cerebellum-rubro-thalamus-cortical circuit and visual pathways.
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MRI has been recommended as a marker of disease progression in cerebellar diseases. We performed a longitudinal brain volumetry study in a couple of bicorial twins with PLA2G6 -positive INAD. Brain volumetry was calculated with FreeSurfer software on 3T T1-weighted images acquired at age 28 ( t 0 ) and 36 months ( t 1 ) in patient 1 and at age 22 ( t 0 ) and 31 months ( t 1 ) in patient 2. Data at t 0 were compared to those obtained in 18 control children aged 14–44 months with normal MRI. At t 0 , both patients showed markedly lower cerebellar volume compared to controls. At t 1 , both patients exhibited a remarkable decrease of cerebellar volume (−25.8% in patient 1; −16.5% in patient 2) and of frontal (−6.8% in patient 1 and −3.3% in patient 2) and occipital (−9.8% in patient 1 and −9.1% in patient 2) cortical GM volume. Our MRI morphometry study indicates that INAD is characterized by a remarkably fast progression of cerebellar atrophy and mild atrophy of the frontal and occipital cortex presumably secondary to deafferentation in the cortical-pons-cerebellum-rubro-thalamus-cortical circuit and visual pathways.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28091863</pmid><doi>10.1007/s12311-017-0843-z</doi><tpages>4</tpages></addata></record>
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subjects Atrophy
Axons - pathology
Biomedical and Life Sciences
Biomedicine
Cerebellar Diseases - pathology
Cerebellum
Child, Preschool
Children
Cortex (frontal)
Disease Progression
Dystrophy
Female
Group VI Phospholipases A2 - genetics
Humans
INAD protein
Infant
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Morphometry
Neuroaxonal Dystrophies - diagnosis
Neuroaxonal Dystrophies - genetics
Neurobiology
Neurology
Neurosciences
Occipital lobe
Pons
Short Report
Thalamus
Twins
Visual cortex
Visual pathways
title Fast Progression of Cerebellar Atrophy in PLA2G6-Associated Infantile Neuronal Axonal Dystrophy
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