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Case ReportBrain

MR Spectroscopy Detects Lipid Peaks in Cerebrotendinous Xanthomatosis

E.K. Embiruçu, M.C.G. Otaduy, A.K. Taneja, C.C. Leite, F. Kok and L.T. Lucato
American Journal of Neuroradiology August 2010, 31 (7) 1347-1349; DOI: https://doi.org/10.3174/ajnr.A1885
E.K. Embiruçu
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M.C.G. Otaduy
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A.K. Taneja
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C.C. Leite
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F. Kok
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L.T. Lucato
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    Fig 1.

    Axial T2-weighted image demonstrates hyperintense lesions encompassing both dentate nuclei and surrounding white matter; this image also shows region-of-interest placement for MRS.

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    Fig 2.

    Spectrum obtained from case 1 (1.5T; STEAM; TR/TE, 1500/30 ms) demonstrates lipid peaks at 0.9 and 1.3 ppm. Notice also a slight decrease in the NAA peak.

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    Fig 3.

    Spectrum obtained from case 2 (3T; PRESS; TR/TE, 1871/35 ms) demonstrates lipid peaks at 0.9 and 1.3 ppm. Notice also a marked decrease in the NAA peak and an increase in the mIns peak.

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    Fig 4.

    Spectrum obtained from case 3 (3T; PRESS; TR/TE, 1871/35 ms) demonstrates lipid peaks at 0.9 and 1.3 ppm. Notice also a slight trend toward a decrease in the NAA peak.

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  • Short TE (30–35 ms) single-voxel MRS data: cerebellar tissue and absolute concentrationsa

    B0 (T)Lip09 (a.u.)Lip13 (a.u.)NAA (a.u.)Cr (a.u.)Cho (a.u.)mIns (a.u.)
    Controls (n = 10)1.54.93 ± 1.607.46 ± 4.236.12 ± 1.695.87 ± 1.501.76 ± 0.355.18 ± 1.55
    Case 11.512.9022.692.244.431.875.73
    Case 21.514.5219.532.005.442.237.32
    Case 23.014.3312.991.835.952.168.47
    Case 33.012.6213.434.806.682.365.09
    • a Metabolite values from controls are expressed as mean ± SD. Absolute metabolite concentrations are expressed as i.u., scaled to internal water signal. Control values were obtained at 1.5T from a healthy group of 10 subjects (mean age, 17 ± 4 years).

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American Journal of Neuroradiology: 31 (7)
American Journal of Neuroradiology
Vol. 31, Issue 7
1 Aug 2010
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Cite this article
E.K. Embiruçu, M.C.G. Otaduy, A.K. Taneja, C.C. Leite, F. Kok, L.T. Lucato
MR Spectroscopy Detects Lipid Peaks in Cerebrotendinous Xanthomatosis
American Journal of Neuroradiology Aug 2010, 31 (7) 1347-1349; DOI: 10.3174/ajnr.A1885

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MR Spectroscopy Detects Lipid Peaks in Cerebrotendinous Xanthomatosis
E.K. Embiruçu, M.C.G. Otaduy, A.K. Taneja, C.C. Leite, F. Kok, L.T. Lucato
American Journal of Neuroradiology Aug 2010, 31 (7) 1347-1349; DOI: 10.3174/ajnr.A1885
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