PMID- 28091863 OWN - NLM STAT- MEDLINE DCOM- 20180320 LR - 20181113 IS - 1473-4230 (Electronic) IS - 1473-4222 (Linking) VI - 16 IP - 3 DP - 2017 Jun TI - Fast Progression of Cerebellar Atrophy in PLA2G6-Associated Infantile Neuronal Axonal Dystrophy. PG - 742-745 LID - 10.1007/s12311-017-0843-z [doi] AB - Infantile neuronal axonal dystrophy (INAD) is characterized by progressive cerebellar atrophy. MRI has been recommended as a marker of disease progression in cerebellar diseases. We performed a longitudinal brain volumetry study in a couple of bicorial twins with PLA2G6-positive INAD. Brain volumetry was calculated with FreeSurfer software on 3T T1-weighted images acquired at age 28 (t (0)) and 36 months (t (1)) in patient 1 and at age 22 (t (0)) and 31 months (t (1)) in patient 2. Data at t (0) were compared to those obtained in 18 control children aged 14-44 months with normal MRI. At t (0), both patients showed markedly lower cerebellar volume compared to controls. At t (1), both patients exhibited a remarkable decrease of cerebellar volume (-25.8% in patient 1; -16.5% in patient 2) and of frontal (-6.8% in patient 1 and -3.3% in patient 2) and occipital (-9.8% in patient 1 and -9.1% in patient 2) cortical GM volume. Our MRI morphometry study indicates that INAD is characterized by a remarkably fast progression of cerebellar atrophy and mild atrophy of the frontal and occipital cortex presumably secondary to deafferentation in the cortical-pons-cerebellum-rubro-thalamus-cortical circuit and visual pathways. FAU - Mascalchi, Mario AU - Mascalchi M AD - Neuroradiology, Meyer Children's Hospital, Florence, Italy. mario.mascalchi@unifi.it. AD - "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, 50139, Florence, Italy. mario.mascalchi@unifi.it. FAU - Mari, Francesco AU - Mari F AD - Neurology Unit and Laboratories, Meyer Children's Hospital, University of Florence, Florence, Italy. FAU - Berti, Beatrice AU - Berti B AD - Neurology Unit and Laboratories, Meyer Children's Hospital, University of Florence, Florence, Italy. FAU - Bartolini, Emanuele AU - Bartolini E AD - Neurology Unit and Laboratories, Meyer Children's Hospital, University of Florence, Florence, Italy. FAU - Lenge, Matteo AU - Lenge M AD - Neurology Unit and Laboratories, Meyer Children's Hospital, University of Florence, Florence, Italy. FAU - Bianchi, Andrea AU - Bianchi A AD - Neuroradiology, Meyer Children's Hospital, Florence, Italy. FAU - Antonucci, Laura AU - Antonucci L AD - Neuroradiology, Meyer Children's Hospital, Florence, Italy. FAU - Santorelli, Filippo M AU - Santorelli FM AD - IRCCS Stella Maris Foundation, Pisa, Italy. FAU - Garavaglia, Barbara AU - Garavaglia B AD - Molecular Neurogenetics Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy. FAU - Guerrini, Renzo AU - Guerrini R AD - Neurology Unit and Laboratories, Meyer Children's Hospital, University of Florence, Florence, Italy. AD - IRCCS Stella Maris Foundation, Pisa, Italy. LA - eng PT - Journal Article PL - United States TA - Cerebellum JT - Cerebellum (London, England) JID - 101089443 RN - EC 3.1.1.4 (Group VI Phospholipases A2) SB - IM MH - Atrophy MH - Axons/*pathology MH - Cerebellar Diseases/pathology MH - Child, Preschool MH - Disease Progression MH - Female MH - Group VI Phospholipases A2/*genetics MH - Humans MH - Infant MH - Magnetic Resonance Imaging/methods MH - Male MH - Neuroaxonal Dystrophies/diagnosis/*genetics OTO - NOTNLM OT - Brain mapping OT - Cerebellar degeneration OT - MRI OT - Pediatric EDAT- 2017/01/17 06:00 MHDA- 2018/03/21 06:00 CRDT- 2017/01/17 06:00 PHST- 2017/01/17 06:00 [pubmed] PHST- 2018/03/21 06:00 [medline] PHST- 2017/01/17 06:00 [entrez] AID - 10.1007/s12311-017-0843-z [pii] AID - 10.1007/s12311-017-0843-z [doi] PST - ppublish SO - Cerebellum. 2017 Jun;16(3):742-745. doi: 10.1007/s12311-017-0843-z.