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Verfasst von:Hammann, Nicole Irene [VerfasserIn]   i
 Lenz, Dominic [VerfasserIn]   i
 Bianzano, Alyssa [VerfasserIn]   i
 Husain, Ralf A. [VerfasserIn]   i
 Forman, Eva [VerfasserIn]   i
 Bernstein, Jonathan A. [VerfasserIn]   i
 Dattner, Tal [VerfasserIn]   i
 Engelen, Marc [VerfasserIn]   i
 Hanson-Kahn, Andrea K. [VerfasserIn]   i
 Isidor, Bertrand [VerfasserIn]   i
 Kotzaeridou, Urania [VerfasserIn]   i
 Tietze, Anna [VerfasserIn]   i
 Trollmann, Regina [VerfasserIn]   i
 Weiß, Claudia [VerfasserIn]   i
 Wolffenbuttel, Bruce H. R. [VerfasserIn]   i
 Kölker, Stefan [VerfasserIn]   i
 Hoffmann, Georg F. [VerfasserIn]   i
 Crushell, Ellen [VerfasserIn]   i
 Staufner, Christian [VerfasserIn]   i
 Mohr, Alexander [VerfasserIn]   i
 Harting, Inga [VerfasserIn]   i
Titel:MRI in LARS1 deficiency
Titelzusatz:spectrum, patterns, and correlation with acute neurological deterioration
Verf.angabe:Nicole Hammann, Dominic Lenz, Alyssa Bianzano, Ralf A. Husain, Eva Forman, Jonathan A. Bernstein, Tal Dattner, Marc Engelen, Andrea K. Hanson-Kahn, Bertrand Isidor, Urania Kotzaeridou, Anna Tietze, Regina Trollmann, Claudia Weiß, Bruce H.R. Wolffenbuttel, Stefan Kölker, Georg F. Hoffmann, Ellen Crushell, Christian Staufner, Alexander Mohr, Inga Harting
E-Jahr:2024
Jahr:September 2024
Umfang:19 S.
Illustrationen:Illustrationen
Fussnoten:Veröffentlicht: 01 July 2024 ; Gesehen am 27.01.2025
Titel Quelle:Enthalten in: Journal of inherited metabolic disease
Ort Quelle:Hoboken, NJ : Wiley, 1978
Jahr Quelle:2024
Band/Heft Quelle:47(2024), 5, Seite 1028-1046
ISSN Quelle:1573-2665
Abstract:Leucine aminoacyl tRNA-synthetase 1 (LARS1)-deficiency (infantile liver failure syndrome type 1 (ILFS1)) has a multisystemic phenotype including fever-associated acute liver failure (ALF), chronic neurologic abnormalities, and encephalopathic episodes. In order to better characterize encephalopathic episodes and MRI changes, 35 cranial MRIs from 13 individuals with LARS1 deficiency were systematically assessed and neurological phenotype was analyzed. All individuals had developmental delay and 10/13 had seizures. Encephalopathic episodes in 8/13 were typically associated with infections, presented with seizures and reduced consciousness, mostly accompanied by hepatic dysfunction, and recovery in 17/19 episodes. Encephalopathy without hepatic dysfunction occurred in one individual after liver transplantation. On MRI, 5/7 individuals with MRI during acute encephalopathy had deep gray matter and brainstem changes. Supratentorial cortex involvement (6/13) and cerebellar watershed injury (4/13) occurred with seizures and/or encephalopathy. Abnormal brainstem contour on sagittal images (8/13), atrophy (8/13), and myelination delay (8/13) were not clearly associated with encephalopathy. The pattern of deep gray matter and brainstem changes are apparently characteristic of encephalopathy in LARS1-deficiency, differing from patterns of hepatic encephalopathy or metabolic stroke in organic acidurias and mitochondrial diseases. While the pathomechanism remains unclear, fever and energy deficit during infections might be causative; thus, sufficient glucose and protein intake along with pro-active fever management is suggested. As severe episodes were observed during influenza infections, we strongly recommend seasonal vaccination.
DOI:doi:10.1002/jimd.12764
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1002/jimd.12764
 kostenfrei: Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/jimd.12764
 DOI: https://doi.org/10.1002/jimd.12764
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:acute liver failure
 aminoacyl-tRNA synthetase deficiencies
 cerebellar watershed
 encephalopathy
 ILFS1
 LARS1
 metabolic stroke
 MRI
 thalamus
K10plus-PPN:1915623391
Verknüpfungen:→ Zeitschrift

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