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本文引用的文献

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Diffusion anisotropy measurement of brain white matter is affected by voxel size: underestimation occurs in areas with crossing fibers.脑白质的扩散各向异性测量受体素大小影响:在存在交叉纤维的区域会出现低估现象。
AJNR Am J Neuroradiol. 2007 Jun-Jul;28(6):1102-6. doi: 10.3174/ajnr.A0488.
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Effects of number of diffusion gradient directions on derived diffusion tensor imaging indices in human brain.扩散梯度方向数量对人脑衍生扩散张量成像指标的影响。
AJNR Am J Neuroradiol. 2006 Sep;27(8):1776-81.
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Apparent diffusion coefficient measurements of the middle cerebellar peduncle differentiate the Parkinson variant of MSA from Parkinson's disease and progressive supranuclear palsy.小脑中间脚的表观扩散系数测量可将多系统萎缩的帕金森变异型与帕金森病及进行性核上性麻痹区分开来。
Brain. 2006 Oct;129(Pt 10):2679-87. doi: 10.1093/brain/awl166. Epub 2006 Jun 30.
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Diffusion anisotropy and diffusivity of white matter tracts within the temporal stem in Alzheimer disease: evaluation of the "tract of interest" by diffusion tensor tractography.阿尔茨海默病颞叶干内白质束的扩散各向异性和扩散率:通过扩散张量纤维束成像评估“感兴趣纤维束”
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Quantitative evaluation of the pyramidal tract segmented by diffusion tensor tractography: feasibility study in patients with amyotrophic lateral sclerosis.经扩散张量纤维束成像分割的锥体束定量评估:肌萎缩侧索硬化症患者的可行性研究
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Clinical phenotype, prognosis and mitochondrial DNA mutation load in mitochondrial encephalomyopathies.线粒体脑肌病的临床表型、预后及线粒体DNA突变负荷
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SPECT findings in mitochondrial encephalomyopathy.线粒体脑肌病的单光子发射计算机断层扫描(SPECT)检查结果
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The A to G transition at nt 3243 of the mitochondrial tRNALeu(UUR) may cause an MERRF syndrome.线粒体tRNALeu(UUR)第3243位核苷酸处的A到G转换可能导致肌阵挛性癫痫伴破碎红纤维综合征(MERRF综合征)。
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Proton MR spectroscopic characterization of differences in regional brain metabolic abnormalities in mitochondrial encephalomyopathies.线粒体脑肌病中脑局部代谢异常差异的质子磁共振波谱特征分析
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线粒体A8344G突变所致的肌阵挛性癫痫伴破碎红纤维患者中聚焦于脑干和小脑的临床及脑部磁共振成像特征

Clinical and brain MR imaging features focusing on the brain stem and cerebellum in patients with myoclonic epilepsy with ragged-red fibers due to mitochondrial A8344G mutation.

作者信息

Ito S, Shirai W, Asahina M, Hattori T

机构信息

Department of Neurology, Graduate School of Medicine, Chiba University, Chiba, Japan.

出版信息

AJNR Am J Neuroradiol. 2008 Feb;29(2):392-5. doi: 10.3174/ajnr.A0865. Epub 2007 Nov 7.

DOI:10.3174/ajnr.A0865
PMID:17989367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8118999/
Abstract

We report 3 patients with myoclonic epilepsy with ragged-red fibers (MERRF) diagnosed by mitochondrial A8344G mutation. Cerebellar ataxia was the first symptom in all patients. Conventional brain MR imaging showed atrophy of the superior cerebellar peduncles and the cerebellum in all patients and brain stem atrophy in 2 patients. In diffusion tensor analysis, fractional anisotropy of the superior cerebellar peduncles was mildly decreased in 1 patient. There was a discrepancy between clinical disabilities (severe) and radiologic abnormalities (mild). This discrepancy and atrophy of the superior cerebellar peduncles and the cerebellum may be important findings suggesting a diagnosis of MERRF.

摘要

我们报告了3例经线粒体A8344G突变确诊的伴有破碎红纤维的肌阵挛性癫痫(MERRF)患者。小脑共济失调是所有患者的首发症状。常规脑磁共振成像显示,所有患者均有小脑上脚和小脑萎缩,2例患者有脑干萎缩。在扩散张量分析中,1例患者小脑上脚的分数各向异性轻度降低。临床残疾(严重)与影像学异常(轻度)之间存在差异。这种差异以及小脑上脚和小脑的萎缩可能是提示MERRF诊断的重要发现。