RT Journal Article SR Electronic T1 Proton MR spectroscopy in Lesch-Nyhan disease. JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 672 OP 674 VO 19 IS 4 A1 Davanzo, P A1 Ke, Y A1 Thomas, M A A1 Anderson, C A1 King, B A1 Belin, T A1 Levitt, J A1 Curran, J A1 Guze, B YR 1998 UL http://www.ajnr.org/content/19/4/672.abstract 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.