Crain Anna M, Kitchen Deanna L, Godiyal Nikhil, Pfeifer Cory M
University of Texas at Dallas, 800 W Campbell Rd, Richardson, TX 75080.
Department of Radiology, University of Texas Southwestern Medical Center,5323 Harry Hines Blvd, Dallas, TX 75390.
Radiol Case Rep. 2020 Sep 22;15(11):2375-2377. doi: 10.1016/j.radcr.2020.09.014. eCollection 2020 Nov.
Neuronal ceroid lipofuscinosis is a rare cause for developmental delay and seizures that results in neurodegeneration. Presented here is a case of a 5-year-old male who presented for MRI following a delay in achieving developmental milestones and epilepsy. MRI was performed demonstrating a thinned corpus callosum and generalized low parenchymal volume with periventricular gliosis. Magnetic resonance spectroscopy showed glutamate/glutamine accumulation and diminished N-acetylaspartate. The diagnosis of neuronal ceroid lipofusciosis was revealed following genetic testing. This case is useful in showing findings of this rare disorder.
神经元蜡样脂褐质沉积症是导致发育迟缓、癫痫发作进而引起神经退行性变的罕见病因。本文介绍了一例5岁男性病例,该患儿因发育里程碑延迟及癫痫前来进行磁共振成像(MRI)检查。MRI显示胼胝体变薄,脑实质总体积减小伴脑室周围胶质增生。磁共振波谱显示谷氨酸/谷氨酰胺蓄积,N - 乙酰天门冬氨酸减少。基因检测后确诊为神经元蜡样脂褐质沉积症。该病例有助于展示这种罕见疾病的影像学表现。