UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

Profi les of MRI characteristics in patients with hepatocerebral degeneration depending on gender and form of a disease

Type of Article

In the Section

Index UDK:

Abstract

We used the Magnetic resonance imaging (MRI) technique to study the dynamics of structural changes of brain in 32 patients with hepatocerebral degeneration. We have verified that structural changes in the brain of patients with HCD exhibit a diff use character with a predominantly bilateral lesion of subcortical nodes and brainstem gray matter. The white matter of brain was affected to a lesser extent. All patients, in the phase of neurological manifestation of disease, had diff erent severity of atrophic brain processes.

MRI allows to improve the accuracy of HCD diagnosis, to determine the time of the disease conversion to neurological phase and to evaluate the eff ectiveness of chelation therapy.

Pages

References

  1. Voloshina, N.P., Voloshin-Gaponov, I.K., Vazhova, Y.A. Algorithm for diagnosis and management of patients with Wilson-Konovalov disease // Ukrainian Journal of Psychoneurology. 2015. Vol. 23, No. 1 (82). С. 23-28.
  2. Konovalov, N. V. Hepatocerebral dystrophy. Moscow : Medicine, 1960. 555 с.
  3. Ponomarev, V. V. Wilson-Conovalov disease: "the great chameleon" // International Neurological Journal. 2010. Т. 3 (33). С. 10-15.
  4. Brewer, G. J., Wilson’s disease: A Clinician’s Guide to Recognition, Diagnosis and Management. Boston, MA : Kluwer Academic Publishers, 2001.
  5. MR imaging of the brain in Wilson disease of  Childhood: findings before and after treatment with clinical correlation  / Kim T.  J., Kim  I.  O., Kim W.  S [et  al.]  // Am.  J. Neuroradiol. 2006. № 27. Р. 1373—78.
  6. MR imaging of the brain in patients with hepatic form of Wilson’s disease  / Kozic D., Svetel M., Petrovic В. [et  al.]  // Eur. J. Neurol. 2003 Sep. Vol. 10, № 5. P. 587—92.
  7. Genotype-phenotype interactions in Wilson’s disease: insight from an Icelandic mutation / Palsson R., Jonasson J. G., Kristjansson M. [et al.] // Eur J Gastroenterol Hepatol. 2001. Vol. 13. Р. 433—436.
  8. Panda A. K., Mehta V. J., Dung A. A., Kushwaha S. Face of giant panda sign in Wilson’s disease // J Assoc Physicians India. 2014. Vol. 62(8). Р. 707—8.
  9. A variety of the face of  the giant panda sign  / Pias-Peleteiro  J.  M., Sesar A., Ares-Pensado B. [et  al.]  // Rev  Neurol. 2014 Jun 16. Vol. 58 (12). Р. 571—2.
  10. The H1069Q mutation in ATP7B is associated with late and neurologic presentation in Wilson disease: results of a meta-analysis / Stapelbroek J. M., Bollen C. W., van Amstel J.  K. [et  al.]  // Journal of Hepatology. 2004. Vol. 41(5). Р. 758—763.
  11. Wilson’s disease tremor is associated with magnetic resonance imaging lesions in basal ganglia structures / Sudmeyer M., Saleh A., Wojtecki L. [et al.]  // Movement Disorder Society. 2006. Dec; 21(12): 2134—9.