Cerebral MR of Menkes kinky-hair disease.
نویسندگان
چکیده
Menkes kinky-hair disease (trichopoliodystrophy, steelyhair disease) is an X-linked neurodegenerative disorder that occurs predominantly in males. It was first described by Menkes in 1962 [1]. The characteristic clinical features are steely hair, profound retardation, spastic quadriparesis, seizures, and hypothermia. The disease is caused by an underlying defect of copper metabolism; and the serum and hepatic copper levels are below normal [2, 3]. The radiologic features of this disorder include bone changes, tortuous cerebral vessels, cerebral atrophy, extracerebral fluid collections, and bladder diverticula [4-7]. Cerebral atrophy, extraaxial accumulation of fluid, and low-density cortical areas have been described in the limited number of children with this disorder who have had cerebral CT [8, 9]. We report on the cerebral MR imaging appearances in three patients with Menkes disease. MR was correlated with CT in each case.
منابع مشابه
Menkes kinky hair disease: characteristic MR angiographic findings.
We report two cases of Menkes kinky hair disease in which MR and MR angiography were performed. The clinical and imaging features are reviewed. MR demonstrated characteristic cerebrovascular tortuousity and thus may be a valuable aid in diagnosis and follow-up.
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Menkes kinky hair disease is a rare X-linked recessive disease nearly exclusively affecting males who present at 2-3 months of age due to abnormal functioning of copper-dependent enzymes due to deficiency of copper. Here, we describe a completely worked-up case of a 4-month-old male infant with very typical history and radiological features confirmed by biochemical and trichoanalysis. The initi...
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An eight month old male infant with protein energy malnutrition was admitted in the hospital with the history of repeated attacks of convulsion since four months of age. He was also suffering from frequent attacks of cough and cold since 6 months of age which was marked prior to admission. The infant had fair complexion, sparse fuzzy wooly hair with marked trunkal hypotonia. He had also mental ...
متن کاملCorrection of cerebrospinal fluid copper in Menkes kinky hair disease.
A patient with Menkes Kinky Hair disease was treated with infusions of copper-histidine which resulted in normal copper values in the cerebrospinal fluid. This tends to confirm the in vitro data that copper is transported into the central nervous system complexed with histidine or other similar ligands.
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عنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 10 1 شماره
صفحات -
تاریخ انتشار 1989