关键词: Anterior horn cell degeneration Dubowitz disease Magnetic resonance imaging Spinal muscular atrophy Type 2 Ventral root atrophy

Mesh : Atrophy Humans Infant Lumbosacral Region / diagnostic imaging pathology Magnetic Resonance Imaging / methods Male Muscular Atrophy, Spinal / diagnosis pathology Spinal Muscular Atrophies of Childhood / diagnosis diagnostic imaging pathology Spinal Nerve Roots / diagnostic imaging pathology Spine / diagnostic imaging pathology Survival of Motor Neuron 1 Protein / genetics

来  源:   DOI:10.1016/j.clinimag.2018.09.017   PDF(Sci-hub)

Abstract:
Spinal muscular atrophies are rare genetic disorders most often caused by homozygous deletion mutations in SMN1 that lead to progressive neurodegeneration of anterior horn cells. Ventral spinal root atrophy is a consistent pathological finding in post-mortem examinations of patients who suffered from various subtypes of spinal muscular atrophy; however, corresponding radiographic findings have not been previously reported. We present a patient with hypotonia and weakness who was found to have ventral spinal root atrophy in the lumbosacral region on MRI and was subsequently diagnosed with spinal muscular atrophy. More systematic analyses of imaging studies in spinal muscular atrophy will help determine whether such findings have the potential to serve as reliable diagnostic markers for clinical evaluations or as outcome measure for clinical trials.
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