Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegeneration

We report a case of a 13-year-old girl with Hallervorden-Spatz disease (HSD) or pantothenate kinase-2 associated neurodegeneration (PKAN). HSD is a rare neurodegenerative disorder, which is characterized by a rapidly progressive extrapyramidal syndrome, dementia with optic atrophy, and retinal degen...

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Main Authors: Umesh C Parashari, Pallavi Aga, Anit Parihar, Ragini Singh, Vindhya Joshi
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2010-07-01
Series:Indian Journal of Radiology and Imaging
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.69353
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author Umesh C Parashari
Pallavi Aga
Anit Parihar
Ragini Singh
Vindhya Joshi
author_facet Umesh C Parashari
Pallavi Aga
Anit Parihar
Ragini Singh
Vindhya Joshi
author_sort Umesh C Parashari
collection DOAJ
description We report a case of a 13-year-old girl with Hallervorden-Spatz disease (HSD) or pantothenate kinase-2 associated neurodegeneration (PKAN). HSD is a rare neurodegenerative disorder, which is characterized by a rapidly progressive extrapyramidal syndrome, dementia with optic atrophy, and retinal degeneration. It is associated with accumulation of cysteine-iron complex in the globus pallidi and substantia nigra. The MRI "eye of the tiger" sign is the characteristic. MRI spectroscopy is also characteristic. It shows markedly decreased NAA/Cr values in the globus pallidi and substantia nigra with increased mI/Cr values that suggest of gliosis.
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spelling doaj.art-60de28d060db4d04904876f1687fdf042022-12-21T21:32:40ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082010-07-01200318819110.4103/0971-3026.69353Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegenerationUmesh C Parashari0Pallavi Aga1Anit Parihar2Ragini Singh3Vindhya Joshi4Department of Radio Diagnosis, C.S.M. Medical University, (Upgraded K.G. Medical University) Lucknow, UP, IndiaDepartment of Radio Diagnosis, C.S.M. Medical University, (Upgraded K.G. Medical University) Lucknow, UP, IndiaDepartment of Radio Diagnosis, C.S.M. Medical University, (Upgraded K.G. Medical University) Lucknow, UP, IndiaDepartment of Radio Diagnosis, C.S.M. Medical University, (Upgraded K.G. Medical University) Lucknow, UP, IndiaDepartment of Radio Diagnosis, C.S.M. Medical University, (Upgraded K.G. Medical University) Lucknow, UP, IndiaWe report a case of a 13-year-old girl with Hallervorden-Spatz disease (HSD) or pantothenate kinase-2 associated neurodegeneration (PKAN). HSD is a rare neurodegenerative disorder, which is characterized by a rapidly progressive extrapyramidal syndrome, dementia with optic atrophy, and retinal degeneration. It is associated with accumulation of cysteine-iron complex in the globus pallidi and substantia nigra. The MRI "eye of the tiger" sign is the characteristic. MRI spectroscopy is also characteristic. It shows markedly decreased NAA/Cr values in the globus pallidi and substantia nigra with increased mI/Cr values that suggest of gliosis.http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.69353basal gangliadystoniahallervorden–spatz diseaseiron depositionmagnetic resonance spectroscopypkan
spellingShingle Umesh C Parashari
Pallavi Aga
Anit Parihar
Ragini Singh
Vindhya Joshi
Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegeneration
Indian Journal of Radiology and Imaging
basal ganglia
dystonia
hallervorden–spatz disease
iron deposition
magnetic resonance spectroscopy
pkan
title Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegeneration
title_full Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegeneration
title_fullStr Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegeneration
title_full_unstemmed Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegeneration
title_short Case report: MR spectroscopy in pantothenate kinase-2 associated neurodegeneration
title_sort case report mr spectroscopy in pantothenate kinase 2 associated neurodegeneration
topic basal ganglia
dystonia
hallervorden–spatz disease
iron deposition
magnetic resonance spectroscopy
pkan
url http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.69353
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