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Costello Syndrome: Cognitive and Proton Magnetic Resonance Spectroscopy Findings—A Case ReportDepartment of Neurologic and Psychiatry Sciences, Child Neuropsychiatric Service, University of Bari, Italy
Department of Neurologic and Psychiatry Sciences, Neuroradiologic Service University of Bari, Italy
Department of Neurologic and Psychiatry Sciences, Child Neuropsychiatric Service, University of Bari, Italy, l.margari@neurol .uniba.it
Department of Neurologic and Psychiatry Sciences, Child Neuropsychiatric Service, University of Bari, Italy
Department of Neurologic and Psychiatry Sciences, Child Neuropsychiatric Service, University of Bari, Italy
Department of Neurologic and Psychiatry Sciences, Neuroradiologic Service University of Bari, Italy
Department of Neurologic and Psychiatry Sciences, Neuroradiologic Service University of Bari, Italy The authors describe a girl with Costello syndrome who showed cerebral palsy and neurosensorial deafness. Brain computer tomography and magnetic resonance findings were normal. Multivoxel proton magnetic resonance spectroscopy showed a lowering of the peak of choline with a reduced choline/creatine ratio at the level of the centrum semiovale. These findings might be due to a congenital dysmyelinating or hypomyelinating condition. A complete neuroimaging study can play a relevant role to better clarify the pathogenesis of brain involvement in Costello syndrome.
Key Words: Costello syndrome proton magnetic resonance choline
Journal of Child Neurology, Vol. 22, No. 5,
650-654 (2007) |
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