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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-5-11
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pubmed:abstractText |
In a 2-year-old boy with Leigh disease, spasticity, dysarthria, and optic atrophy gradually developed. Computed tomography and magnetic resonance imaging disclosed progressive, symmetric basal ganglia lesions. In muscle tissue, a defect of pyruvate dehydrogenase complex was found. Magnetic resonance volume selective proton spectroscopy (MRVS) of the basal ganglia demonstrated an abnormal lactate peak. A ketonemic diet coincided with clinical stabilization and arrest of progressive brain lesions. Lactate could no longer be demonstrated by MRVS. It reappeared with a new brain lesion coinciding with discontinuation of the diet. MRVS, therefore, appears to be a sensitive tool to evaluate pathologic lactate production in metabolic brain disease with disturbed energy metabolism and allows noninvasive therapy monitoring.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0887-8994
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
60-4
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pubmed:dateRevised |
2006-5-23
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pubmed:meshHeading |
pubmed-meshheading:1558578-Basal Ganglia,
pubmed-meshheading:1558578-Diagnosis, Differential,
pubmed-meshheading:1558578-Fatty Acids, Volatile,
pubmed-meshheading:1558578-Humans,
pubmed-meshheading:1558578-Lactates,
pubmed-meshheading:1558578-Lactic Acid,
pubmed-meshheading:1558578-Leigh Disease,
pubmed-meshheading:1558578-Magnetic Resonance Imaging,
pubmed-meshheading:1558578-Male,
pubmed-meshheading:1558578-Muscles,
pubmed-meshheading:1558578-Neurologic Examination,
pubmed-meshheading:1558578-Spectrometry, X-Ray Emission,
pubmed-meshheading:1558578-Tomography, X-Ray Computed
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pubmed:articleTitle |
Assessment and therapy monitoring of Leigh disease by MRI and proton spectroscopy.
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pubmed:affiliation |
Department of Developmental Neurology, University of Tübingen, Germany.
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pubmed:publicationType |
Journal Article,
Case Reports
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