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Research ArticlePEDIATRICS

MR Evaluation in Patients with Isolated Anosmia Since Birth or Early Childhood

Nasreddin D. Abolmaali, Volker Hietschold, Thomas J. Vogl, Karl-Bernd Hüttenbrink and Thomas Hummel
American Journal of Neuroradiology January 2002, 23 (1) 157-164;
Nasreddin D. Abolmaali
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Volker Hietschold
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Thomas J. Vogl
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Karl-Bernd Hüttenbrink
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Thomas Hummel
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  • Fig 1.
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    Fig 1.

    Transverse reformation of a 3D data set of an MP-RAGE image. The eyeballs and olfactory bulbs are visible. The coronal plane indicates position of the plane of the PPTE. Note that in normosmic subjects with normal olfactory bulb, this plane cuts through the olfactory bulb.

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    Fig 2.

    Coronal T1-weighted SE image in the PPTE in a healthy subject. Note visualization of the olfactory bulbs and normal development of the olfactory sulci.

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    Fig 3.

    Coronal T1-weighted SE image in the PPTE in a patient with bilateral aplasia of the olfactory bulb, visible olfactory tracts (arrowheads), and slightly flattened olfactory sulci. Note partial volume effect of the right eyeball.

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    Fig 4.

    Coronal T1-weighted SE image in the PPTE in a patient with absent olfactory tracts and sulci. Note partial volume effects of both eyeballs.

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    Fig 5.

    Patient with olfactory tract present only on the right.

    A, Coronal T1-weighted SE dorsal image in the PPTE. Olfactory tract is visible on the right (arrowhead). There is accordingly different development of the olfactory sulcus, as shown in B.

    B, Transverse reformation of a 3D data set of an MP-RAGE image in the same patient. Olfactory tract on the left is absent; olfactory tract on the right is visible. Accordingly the olfactory sulcus is shorter (arrowhead) on the left where the olfactory tract is not detectable. Note exact transverse reformation as identified by symmetrical display of periorbital fat and the middle cerebral arteries.

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    Fig 6.

    Olfactory sulcus (OS) depth in PPTE in patients with IA compared with that in healthy controls (means, SEM). Only olfactory sulcus depths greater than 0 were taken into consideration. The olfactory sulcus was significantly deeper on the right than on the left.

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    Fig 7.

    Olfactory sulcus (OS) depth in the PPTE in IA patients with visible olfactory tracts (VOT) and in those with nonvisible olfactory tracts (NOT). There is no overlap between the two groups in terms of olfactory sulcus depth.

Tables

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    TABLE 1:

    Descriptive statistics of olfactory sulcus measures, both as absolute measures and as measures in relation to the maximum inner coronal diameter of the anterior skull

    Olfactory Sulcus MeasureControls (n = 8)IA Patients (n = 16)
    LeftRightLeftRight
    Absolute length (mm)28.6 ± 5.028.9 ± 6.128.1 ± 6.930.6 ± 1.7
    Relative length (%)28.4 ± 5.028.9 ± 5.927.6 ± 6.729.9 ± 6.3
    Maximum depth (mm)9.9 ± 1.510.2 ± 1.19.1 ± 2.49.8 ± 2.1
    Relative depth (%)9.2 ± 1.910.1 ± 1.48.8 ± 2.49.6 ± 2.0
    Depth in the PPTE (mm)8.8 ± 1.58.9 ± 1.45.0 ± 3.36.4 ± 3.4
    Relative depth in the PPTE (%)9.3 ± 1.28.8 ± 1.44.9 ± 3.36.4 ± 3.4
    Depth >0 in the PPTE (mm)*——5.7 ± 2.97.5 ± 2.4
    Relative depth >0 in the PPTE (%)*——5.6 ± 2.87.3 ± 2.5
    • Note.—Data are the mean ±SD.

    • * Only the depth of the olfactory sulcus in the PPTE >0 was taken into consideration (in two IA patients, the olfactory sulcus in the PPTE was not visible).

    • View popup
    TABLE 2:

    Depth of left and right olfactory sulci in control subjects and IA patients with a visible olfactory sulcus in the PPTE

    DepthControl Subjects (n = 8)Patients with IA (n = 14)
    Deeper olfactory sulcus left21
    Deeper olfactory sulcus right311
    Equal depth on right and left32
    • View popup
    TABLE 3:

    Olfactory sulcus depth in the PPTE in patients with IA by presence of olfactory bulb and olfactory tract

    Patient No.SexOlfactory BulbOlfactory TractRight OS (mm)Left OS (mm)
    1MAplasticVisible bilaterally76
    2FHypoplasticVisible bilaterally1211
    3FAplasticNonvisible bilaterally00
    4FHypoplasticVisible bilaterally88
    5MAplasticVisible bilaterally98
    6FHypoplasticVisible bilaterally87
    7FAplasticNonvisible bilaterally00
    8FHypoplasticVisible bilaterally78
    9FAplasticNonvisible bilaterally42
    10FHypoplastic right, aplastic leftVisible right93
    Nonvisible left
    11FAplasticVisible bilaterally75
    12FHypoplastic right, aplastic leftVisible right63
    Nonvisible left
    13FAplasticVisible bilaterally98
    14FHypoplastic right, aplastic leftVisible right72
    Nonvisible left
    15FHypoplasticVisible bilaterally107
    16FAplasticNonvisible bilaterally22
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American Journal of Neuroradiology: 23 (1)
American Journal of Neuroradiology
Vol. 23, Issue 1
1 Jan 2002
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Cite this article
Nasreddin D. Abolmaali, Volker Hietschold, Thomas J. Vogl, Karl-Bernd Hüttenbrink, Thomas Hummel
MR Evaluation in Patients with Isolated Anosmia Since Birth or Early Childhood
American Journal of Neuroradiology Jan 2002, 23 (1) 157-164;

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MR Evaluation in Patients with Isolated Anosmia Since Birth or Early Childhood
Nasreddin D. Abolmaali, Volker Hietschold, Thomas J. Vogl, Karl-Bernd Hüttenbrink, Thomas Hummel
American Journal of Neuroradiology Jan 2002, 23 (1) 157-164;
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