MAGNETIC-RESONANCE-IMAGING OF BRAIN AND THE NEUROMOTOR DISORDER IN ENDEMIC CRETINISM

被引:23
作者
MA, T
LIAN, ZC
QI, SP
HEINZ, ER
DELONG, GR
机构
[1] DUKE UNIV,MED CTR,DEPT PEDIAT,DIV PEDIAT NEUROL,BOX 3533,DURHAM,NC 27710
[2] TIANJIN MED COLL,TIANJIN,PEOPLES R CHINA
[3] DUKE UNIV,MED CTR,DEPT RADIOL,DIV NEURORADIOL,DURHAM,NC 27710
关键词
D O I
10.1002/ana.410340116
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Neurological endemic cretinism, resulting from severe iodine deficiency, is characterized by mental deficiency, deaf-mutism, and a spastic-rigid motor disorder. Its neuropathology and pathophysiology have been investigated very little. We report the clinical and magnetic resonance imaging brain scan findings of 3 adult Chinese cretins. All show an apparent magnetic resonance imaging abnormality in the globus pallidus and substantia nigra, with hyperintensity on T1-weighted images and hypointensity on T2-weighted images. The motor abnormality, characterized by truncal and proximal limb-girdle rigidity and spasticity, with relative sparing of the hands and feet, is analogous to other extrapyramidal disorders. Endemic cretinism is a unique form of cerebral palsy of potential interest for students of human neuromotor development.
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页码:91 / 94
页数:4
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