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Neonatal pyruvate dehydrogenase deficiency due to a R302H mutation in the PDHA1 gene: MRI findings.
[pyruvate dehydrogenase deficiency]
Pyruvate
dehydrogenase
(
PDH
)
deficiency
is
one
of
the
most
common
causes
of
congenital
lactic
acidosis
.
Correlations
between
the
genetic
defect
and
neuroimaging
findings
are
lacking
.
We
present
conventional
and
diffusion-weighted
MRI
findings
in
a
7
-
day
-old
male
neonate
with
PDH
deficiency
due
to
a
mosaicism
for
the
R
302
H
mutation
in
the
PDHA
1
gene
.
Corpus
callosum
dysgenesis
,
widespread
increased
diffusion
in
the
white
matter
,
and
bilateral
subependymal
cysts
were
the
main
features
.
Although
confirmation
of
PDH
deficiency
depends
on
specialized
biochemical
analyses
,
neonatal
MRI
plays
a
role
in
evaluating
the
pattern
and
extent
of
brain
damage
,
and
potentially
in
early
diagnosis
and
clinical
decision
making
.
Diseases
Validation
Diseases presenting
"corpus callosum dysgenesis"
symptom
hydrocephalus with stenosis of the aqueduct of sylvius
monosomy 21
pyruvate dehydrogenase deficiency
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