PT - JOURNAL ARTICLE AU - Davanzo, P AU - Ke, Y AU - Thomas, M A AU - Anderson, C AU - King, B AU - Belin, T AU - Levitt, J AU - Curran, J AU - Guze, B TI - Proton MR spectroscopy in Lesch-Nyhan disease. DP - 1998 Apr 01 TA - American Journal of Neuroradiology PG - 672--674 VI - 19 IP - 4 4099 - http://www.ajnr.org/content/19/4/672.short 4100 - http://www.ajnr.org/content/19/4/672.full SO - Am. J. Neuroradiol.1998 Apr 01; 19 AB - In vivo proton spectra for four patients with Lesch-Nyhan disease and four control subjects matched for age and sex were acquired from voxels (1.5 x 1.5 x 1.5 cm3) placed in the prefrontal cortex and striatum. The patients with Lesch-Nyhan disease had decreased metabolites, especially N-acetylaspartate and glutamate/glutamine, only in the prefrontal cortex as compared with the control group. These findings suggest axonal loss in the prefrontal area of this population. The cortical glutamate/glutamine peak decrement does not confirm cytopathologic studies of Lesch-Nyhan disease and deserves further investigation.