Summary
Paediatric neurotransmitter diseases consist of a group of inherited neurometabolic diseases in children, and include disorders related to γ-amino butyric acid (GABA) metabolism, monoamine biosynthesis, etc. The diagnosis of paediatric neurotransmitter diseases remain a great challenge for paediatricians and child neurologists. In addition to clinical manifestations and CSF neurotransmitter measurement, neuroimaging findings can also be very informative for the diagnosis and evaluation of the patients. For patients with monoamine biosynthesis disorders, the functional evaluation of dopaminergic transmission also plays an important role. Understanding of the possible neuroimaging changes in paediatric neurotransmitter diseases is therefore of great value for the investigation of these patients.
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Abbreviations
- 5-HIAA:
-
5-hydroxyindoleacetic acid
- AADC:
-
aromatic l-amino acid decarboxylase
- GABA:
-
γ-amino butyric acid
- GTPCH I:
-
GTP cyclohydrolase I
- HVA:
-
homovanillic acid
- MAO:
-
monoamine oxidase
- NAA:
-
N-acetylaspartate
- PET:
-
positron emission tomography
- SPECT:
-
single-photon-emission computed tomography
- SR:
-
sepiapterin reductase
- SSADH:
-
succinic semialdehyde dehydrogenase
- TH:
-
tyrosine hydroxylase
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Acknowledgements
The symposium was supported in part by R13 NS 60363 from the NIH NINDS and Office of Rare Diseases (ORD), and the Johns Hopkins University School of Medicine.
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Communicating editor: Michael Gibson
Competing interests: None declared
Presented at the 2nd Pediatric Neurotransmitter Disease (PND) Association Symposium, “Medical Management of Pediatric Neurotransmitter Disorders: A Multidisciplinary Approach”, 18–19 July, 2008, Hyatt Dulles Hotel, Herndon, VA, USA.
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Lee, WT., Weng, WC., Peng, SF. et al. Neuroimaging findings in children with paediatric neurotransmitter diseases. J Inherit Metab Dis 32, 361–370 (2009). https://doi.org/10.1007/s10545-009-1106-z
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DOI: https://doi.org/10.1007/s10545-009-1106-z