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Metabolite profile in the basal ganglia of children with cerebral palsy: a proton magnetic resonance spectroscopy study
Author(s) -
Kulak Wojciech,
Sobaniec Wojciech,
Kubas Bozena,
Walecki Jerzy,
SmigielskaKuzia Joanna
Publication year - 2006
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1017/s0012162206000612
Subject(s) - basal ganglia , metabolite , creatine , choline , spastic diplegia , cerebral palsy , medicine , spastic cerebral palsy , spastic quadriplegia , spastic , endocrinology , psychology , central nervous system , physical therapy
This prospective study determined metabolite profile in the left and right basal ganglia of children with spastic cerebral palsy (CP) compared with children without disabilities, by using proton magnetic resonance spectroscopy ( 1 HMRS). Twenty‐three patients with spastic CP (12 males, 11 females; mean age 11y 9mo [SD 4y 2mo], range 4–17y) were examined. Twenty children had spastic diplegia and three had quadriplegia. Twenty‐four normally developing children (13 females, 11 males; mean age 10y 3mo [SD 4y 8mo], range 4–17y) served as a comparison group. The relative concentrations of N‐acetylaspartate (NAA), choline (Cho), myo‐inositol (mI), and gamma‐aminobutyric acid (GABA) were measured relative to creatine (Cr) and different combinations of metabolites within 8cm 3 brain voxels. Children with CP showed reduced ratios of NAA:Cr, NAA:Cho, NAA:mI, and GABA:Cr in the basal ganglia relative to a matched comparison group. Patients demonstrated a significant age‐dependent increase in NAA:Cr and NAA:Cho in the basal ganglia. No sex‐dependent difference was shown in children with CP nor in the comparison group for all tested metabolite ratios. Significant correlation between Apgar score and ratio of mI:Cr in the group with CP was found. None of the tested metabolite ratios were correlated with the severity scale of CP in children with CP. NAA:Cr ratios were negatively correlated with learning disability* in patients with CP. Results indicate the association of the metabolite ratios in basal ganglia with learning disability.