Proton magnetic resonance spectroscopy in children with spastic diplegia

The objective of this prospective study was the application of proton magnetic resonance spectroscopy in children with spastic diplegia (SD) to determine the metabolite profile of SD children in the left basal ganglia, and to assess the relationship of this profile with motor and mental development....

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Veröffentlicht in:Neuroscience letters 2004-06, Vol.363 (1), p.62-64
Hauptverfasser: Kulak, Wojciech, Sobaniec, Wojciech, Kubas, Bozena, Walecki, Jerzy
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container_title Neuroscience letters
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creator Kulak, Wojciech
Sobaniec, Wojciech
Kubas, Bozena
Walecki, Jerzy
description The objective of this prospective study was the application of proton magnetic resonance spectroscopy in children with spastic diplegia (SD) to determine the metabolite profile of SD children in the left basal ganglia, and to assess the relationship of this profile with motor and mental development. Patients with SD showed reduced ratios of N-acetylaspartate (NAA)/creatine (Cr), NAA/choline (Cho), NAA/myo-inositol (mI), Cho/NAA, Cho/Cr and Cho/mI in the basal ganglia compared to a well-matched control group. On the other hand, we noted increased Cr/NAA, Cr/Cho and mI/NAA ratios in the SD patients as compared with controls. NAA/mI ratios were positively correlated with the severity scale of cerebral palsy in SD children. There was also a significant correlation between Cr/NAA and mental retardation. Increased Cr/NAA, Cr/Cho and mI/NAA ratios in SD children may suggest the existence of the compensatory mechanisms in these patients. The NAA/mI ratio could be used as an additional marker of SD severity and Cr/NAA as a marker of the mental retardation.
doi_str_mv 10.1016/j.neulet.2004.03.043
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subjects Adolescent
Asparagine - analogs & derivatives
Asparagine - metabolism
Basal ganglia
Basal Ganglia - metabolism
Basal Ganglia - pathology
Biological and medical sciences
Birth Weight
Case-Control Studies
Cerebral palsy
Cerebral Palsy - diagnosis
Cerebral Palsy - physiopathology
Child
Child, Preschool
Choline - metabolism
Creatine - metabolism
Female
Fundamental and applied biological sciences. Psychology
Humans
Inositol - metabolism
Magnetic Resonance Spectroscopy
Male
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Prospective Studies
Proton magnetic resonance spectroscopy
Protons
Spastic diplegia
Vertebrates: nervous system and sense organs
title Proton magnetic resonance spectroscopy in children with spastic diplegia
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