AJDRAJNR - American Journal of Neuroradiology

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Proton MR Spectroscopy of Polymicrogyria and Heterotopia

Elysa Widjajaa, Paul D. Griffithsb and Iain D. Wilkinsonb

a Department of Radiology, Royal Hallamshire Hospital, Sheffield, England
b Academic Unit of Radiology, University of Sheffield, England



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FIG 1. Control case.

A, Axial T2-weighted MR image shows the single 2 x 2 x 2-cm voxel (box) localized in frontal lobe white matter from which the proton spectrum was acquired.

B, MR spectrum shows that the Cho and Cr peaks are roughly equal in height, and the N-acetylaspartate (NAA) peak is approximately 1.6 times the height of the Cr peak.



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FIG 2. Subcortical heterotopia.

A, Axial T2-weighted MR image shows the sampled region of interest (box) over the area of subcortical heterotopia.

B, MR spectrum shows that the NAA, Cho, and Cr peaks are similar to that of the control case in Figure 1.



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FIG 3. Polymicrogyria.

A, Axial T2-weighted MR image shows a region of interest (box) for spectroscopic analysis centered over the area of polymicrogyria in the left frontal lobe.

B, MR spectrum of this lesion shows that the NAA peak is similar to that of normal brain.