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钼辅因子缺乏症:神经影像学表现

Molybdenum cofactor deficiency: Neuroimaging findings.

作者信息

Durmaz Mehmet Sedat, Özbakır Bora

机构信息

Department of Radiology, Teaching and Research Hospital, Konya Health Sciences University, Necip Fazıl Mahallesi, Fatih Cad. No: 4/1, Meram, Konya, 42090, Turkey.

Gynecology-Obstetrics and Pediatrics Hospital, Department of Radiology, Isparta, Turkey.

出版信息

Radiol Case Rep. 2018 Mar 22;13(3):592-595. doi: 10.1016/j.radcr.2018.02.025. eCollection 2018 Jun.

DOI:10.1016/j.radcr.2018.02.025
PMID:30108670
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6078902/
Abstract

Molybdenum cofactor deficiency is an extremely rare and fatal metabolic disorder that should be considered in the differential diagnosis of hypoxic-ischemic encephalopathy. Magnetic resonance imaging findings are useful in diagnosis. The short-echo-time magnetic resonance spectrum was characterized by a total loss of signal and lipid and lactate peaks. In this case, conventional magnetic resonance imaging and magnetic resonance spectroscopy findings of this extremely rare disease whose pathophysiology was not known were presented.

摘要

钼辅因子缺乏症是一种极其罕见且致命的代谢紊乱疾病,在缺氧缺血性脑病的鉴别诊断中应予以考虑。磁共振成像结果对诊断很有帮助。短回波时间磁共振波谱的特征是信号完全消失以及脂质和乳酸峰消失。本文报道了这种病理生理学尚不明确的极其罕见疾病的传统磁共振成像和磁共振波谱结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/7c5ec2e6b1ec/radcr476-fig-0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/7c43a139f1e6/radcr476-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/feb6e263dd61/radcr476-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/afc4e6815403/radcr476-fig-0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/7c5ec2e6b1ec/radcr476-fig-0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/7c43a139f1e6/radcr476-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/feb6e263dd61/radcr476-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/afc4e6815403/radcr476-fig-0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6a4/6078902/7c5ec2e6b1ec/radcr476-fig-0004.jpg

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Increased Survival in Patients With Molybdenum Cofactor Deficiency Type A Treated With Cyclic Pyranopterin Monophosphate.接受环磷酸吡哆醛治疗的A型钼辅因子缺乏症患者生存率提高。
J Inherit Metab Dis. 2025 Mar;48(2):e70000. doi: 10.1002/jimd.70000.
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A case report of MoCD etiology in a neonate: A novel homozygous MoCS2 variant.一名新生儿中钼辅因子缺乏症(MoCD)病因的病例报告:一种新的纯合型钼辅因子合成酶2(MoCS2)变体。
Clin Case Rep. 2024 Jul 11;12(7):e9169. doi: 10.1002/ccr3.9169. eCollection 2024 Jul.
3
A case report of molybdenum cofactor deficiency type A: the first case diagnosed in Syria.

本文引用的文献

1
Ultra-orphan diseases: a quantitative analysis of the natural history of molybdenum cofactor deficiency.超罕见疾病:钼辅酶缺陷的自然史的定量分析。
Genet Med. 2015 Dec;17(12):965-70. doi: 10.1038/gim.2015.12. Epub 2015 Mar 12.
2
Molybdenum cofactor deficiency: review of 12 cases (MoCD and review).钼辅因子缺乏症:12 例病例回顾(MoCD 及综述)。
Eur J Paediatr Neurol. 2013 Jan;17(1):1-6. doi: 10.1016/j.ejpn.2012.10.003. Epub 2012 Oct 31.
3
Clinical neuroimaging features and outcome in molybdenum cofactor deficiency.钼辅因子缺乏症的临床神经影像学特征和结果。
A型钼辅因子缺乏症病例报告:叙利亚首例确诊病例。
Ann Med Surg (Lond). 2024 Jan 30;86(3):1762-1765. doi: 10.1097/MS9.0000000000001778. eCollection 2024 Mar.
4
A New Pattern of Brain and Cord Gadolinium Enhancement in Molybdenum Cofactor Deficiency: A Case Report.钼辅因子缺乏症中脑和脊髓钆增强的新模式:病例报告
Children (Basel). 2023 Jun 17;10(6):1072. doi: 10.3390/children10061072.
5
Human parechovirus meningoencephalitis.人细小病毒脑膜脑炎
SA J Radiol. 2023 Feb 23;27(1):2589. doi: 10.4102/sajr.v27i1.2589. eCollection 2023.
6
Sulfite Impairs Bioenergetics and Redox Status in Neonatal Rat Brain: Insights into the Early Neuropathophysiology of Isolated Sulfite Oxidase and Molybdenum Cofactor Deficiencies.亚硫酸盐损害新生大鼠大脑的能量代谢和氧化还原状态:探讨孤立性亚硫酸盐氧化酶和钼辅因子缺乏症的早期神经发病机制。
Cell Mol Neurobiol. 2023 Aug;43(6):2895-2907. doi: 10.1007/s10571-023-01328-6. Epub 2023 Mar 2.
7
Magnetic Resonance Imaging in (Near-)Term Infants with Hypoxic-Ischemic Encephalopathy.缺氧缺血性脑病(近)足月儿的磁共振成像
Diagnostics (Basel). 2022 Mar 6;12(3):645. doi: 10.3390/diagnostics12030645.
8
Microcephaly in Neurometabolic Diseases.神经代谢疾病中的小头畸形
Children (Basel). 2022 Jan 11;9(1):97. doi: 10.3390/children9010097.
9
Case Report: Compound Heterozygous Variants in Identified in a Chinese Infant With Molybdenum Cofactor Deficiency.病例报告:在中国一名患有钼辅因子缺乏症的婴儿中鉴定出的复合杂合变异体。
Front Genet. 2021 Apr 8;12:651878. doi: 10.3389/fgene.2021.651878. eCollection 2021.
10
Molybdenum Cofactor Deficiency: Mega Cisterna Magna in Two Consecutive Pregnancies and Review of the Literature.钼辅因子缺乏症:连续两次妊娠出现的巨大枕大池及文献综述
Appl Clin Genet. 2020 Jan 30;13:49-55. doi: 10.2147/TACG.S239917. eCollection 2020.
Pediatr Neurol. 2011 Oct;45(4):246-52. doi: 10.1016/j.pediatrneurol.2011.06.006.
4
In vivo brain proton MR spectroscopy in a case of molybdenum cofactor deficiency.
Pediatr Radiol. 1999 Nov;29(11):846-8. doi: 10.1007/s002470050710.
5
Inborn errors of molybdenum metabolism: combined deficiencies of sulfite oxidase and xanthine dehydrogenase in a patient lacking the molybdenum cofactor.钼代谢的先天性缺陷:一名缺乏钼辅因子患者中,亚硫酸盐氧化酶和黄嘌呤脱氢酶的联合缺乏。
Proc Natl Acad Sci U S A. 1980 Jun;77(6):3715-9. doi: 10.1073/pnas.77.6.3715.