title: Functional Brain Imaging in Cornelia de Lange Syndrome: Case Report and Literature review.
abstract: Functional brain imaging with brain single photon emission computer tomography (Brain SPECT) has been used for many years in the evaluation of multiple neuro-degenerative and neuro-developmental disorders. Brain SPECT is a nuclear medicine tomographic study performed with a lipophilic radiopharmaceutical labeled with 99mTc-pertechnetate. It is a cerebral perfusion agent that depicts the global and regional perfusion patterns in the cortical gray matter and subcortical structures. Cornelia de Lange syndrome (CdLS) is a rare neuro-developmental and genetic condition, associated to several malformations. There are a limited number of cases reported in the medical literature and few of them report neuro-radiological and/or neuro-pathologic abnormalities. We report a case of a 15 year old patient, clinically diagnosed at birth with CdLS, who presents limited anatomical findings on Computed Tomography and Magnetic Resonance Imaging. To the best of our knowledge, this is the first report of the Brain SPECT findings in this syndrome.
authors.forename: Frieda
authors.initials: F
authors.lastname: Silva-Hernández
authors.forename: Gloria I
authors.initials: GI
authors.lastname: Rodríguez-Cuadrado
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: Martin-Ruaigip
authors.forename: Lourdes
authors.initials: L
authors.lastname: Barreras-Ávila
authors.forename: Brenda
authors.initials: B
authors.lastname: González-Chevere
authors.forename: Roberto
authors.initials: R
authors.lastname: Valentin-Rivera
authors.forename: Eduardo
authors.initials: E
authors.lastname: Labat-Alvarez
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis; D001921:Brain / Q000000981:diagnostic imaging; D003635:De Lange Syndrome / Q000000981:diagnostic imaging* / Q000473:pathology / Q000523:psychology; D003937:Diagnosis, Differential; D059907:Functional Neuroimaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010641:Phenotype; D019275:Radiopharmaceuticals / Q000493:pharmacokinetics; D019690:Technetium Tc 99m Exametazime / Q000493:pharmacokinetics; D014018:Tissue Distribution; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D019275:Radiopharmaceuticals; D019690:Technetium Tc 99m Exametazime