Rapidly progressive vanishing white matter disease in a child with previously inconspicuous brain MRI.
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Rapidly progressive vanishing white matter disease in a child with previously inconspicuous brain MRI. / Ding, X-Q; Goerg, M; Eckert, B; Ohlenbusch, A; Kohlschuetter, A; Gaertner, J; Zeumer, Hermann.
In: NEUROPEDIATRICS, Vol. 37, No. 4, 4, 2006, p. 253-256.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Rapidly progressive vanishing white matter disease in a child with previously inconspicuous brain MRI.
AU - Ding, X-Q
AU - Goerg, M
AU - Eckert, B
AU - Ohlenbusch, A
AU - Kohlschuetter, A
AU - Gaertner, J
AU - Zeumer, Hermann
PY - 2006
Y1 - 2006
N2 - In this pediatric case of vanishing white matter disease with early onset, rapidly progressive course, and fatal outcome, the white matter vanishing process in patient was for the first time documented morphologically in detail: An initial magnetic resonance imaging documented a normal appearing brain maturation. Rapid progressive brain lesions initiated morphologically DE NOVO in the former well myelinated deep white matter were observed six months later after disease onset, including concentric ongoing signs of restricted proton diffusion cytotoxic edema on diffusion weighted imaging. Cyst-like defects at the lesion center of the deep white matter were detected more clearly on MRI ten months later. A pathomechanism like tumor necrosis factor induced oligodendrocyte apoptosis and primary demyelination was postulated. The case demonstrates that in the presence of clinically progressive symptoms, the development of VWM is possible even if first MRI findings are negative.
AB - In this pediatric case of vanishing white matter disease with early onset, rapidly progressive course, and fatal outcome, the white matter vanishing process in patient was for the first time documented morphologically in detail: An initial magnetic resonance imaging documented a normal appearing brain maturation. Rapid progressive brain lesions initiated morphologically DE NOVO in the former well myelinated deep white matter were observed six months later after disease onset, including concentric ongoing signs of restricted proton diffusion cytotoxic edema on diffusion weighted imaging. Cyst-like defects at the lesion center of the deep white matter were detected more clearly on MRI ten months later. A pathomechanism like tumor necrosis factor induced oligodendrocyte apoptosis and primary demyelination was postulated. The case demonstrates that in the presence of clinically progressive symptoms, the development of VWM is possible even if first MRI findings are negative.
M3 - SCORING: Zeitschriftenaufsatz
VL - 37
SP - 253
EP - 256
JO - NEUROPEDIATRICS
JF - NEUROPEDIATRICS
SN - 0174-304X
IS - 4
M1 - 4
ER -
