Clinical diagnosis, biochemical findings and MRI spectrum of peroxisomal disorders
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Peroxisomal disorders are an important group of neurometabolic diseases. The clinical presentation is varied in terms of age of onset, severity, and different neurological symptoms. The clinical course spans from death in infancy, rapid functional decline, slow decline on long-term followup, to apparent stable course. Leukoencephalopathy and developmental anomalies are characteristic findings on cerebral MR imaging. From a diagnostic point of view the disorders can be clinically subdivided into four broad categories: (1) the Zellweger spectrum disorders and the peroxisomal ß-oxidation disorders, (2) the rhizomelic chondrodysplasia punctata spectrum disorders, (3) the X-linked adrenoleukodystrophy/adrenomyeloneuropathy complex and (4) the remaining disorders. This article discusses the role of MRI findings in the clinical approach of peroxisomal disorders with neurological disease.
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Within their first year of life, all patients with Zellweger syndrome display white matter abnormalities in the CNS, observed by histological analyses and brain magnetic resonance tomography.
“In addition to these migration defects, within their first year of life, all patients with Zellweger syndrome display white matter abnormalities in the CNS, which have been observed by histological analyses and brain magnetic resonance tomography (MRT) studies [52–55].”
From Peroxisomes in brain development and function (2016) · cites this paper as [54]
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A Systematic Approach to the Differential Diagnosis of Encephalitis in Children
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Single Peroxisomal Enzyme and Transporter Deficiencies in Human Diseases and Mouse Models
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Nanozyme Catalysis Restores Hair Follicle Integrity by Reversing Peroxisomal Collapse
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- Authors
- Poll-The, B. T., & Gärtner, J.
- Affiliations
- University of Göttingen (DE)
- ORCID
- Gärtner, Jutta
- Venue
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 1822
- Issue
- 9
- Pages
- 1421-1429
- ISSN
- 0925-4439 (ISSN-L)
- OpenAlex
- W1973887123
- Cited by
- 85
- References
- 46
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 11 · 2015: 10 · 2014: 11 · 2013: 10 · 2012: 1
- FWCI
- 1.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- GRO (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Keywords
- peroxisomal disorders, neurometabolic disorders, Zellweger spectrum disorder, rhizomelic chondrodysplasia punctata, X-linked adrenoleukodystrophy, adrenomyeloneuropathy, leukoencephalopathy, developmental anomalies, MRI findings, biochemical diagnosis, diagnosis
- MeSH terms
- Brain, Diagnosis, Differential, Humans, Magnetic Resonance Imaging, Phenotype, Peroxisomal Disorders, Lipid Metabolism, Neuroimaging
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