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Research ArticleBrain
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Diffuse White Matter Damage Is Absent in Neuromyelitis Optica

F. Aboul-Enein, M. Krššák, R. Höftberger, D. Prayer and W. Kristoferitsch
American Journal of Neuroradiology January 2010, 31 (1) 76-79; DOI: https://doi.org/10.3174/ajnr.A1791
F. Aboul-Enein
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M. Krššák
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R. Höftberger
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D. Prayer
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W. Kristoferitsch
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    Fig 1.

    Spectral region including resonance lines of choline (Cho), creatine (Cr), and N-acetylaspartate (NAA). Left: Anatomic T2-weighted MR images with the depiction of 1H-MR 2D spectroscopic imaging point-resolved spectroscopy sequence box volume of interest (gray, 8 × 8 cm) and voxels in the normal-appearing white matter (NAWM) chosen for the spectroscopic data evaluation. Right: Representative MR spectra from a single voxel with original spectra (lower trace); advanced method for accurate, robust, and efficient spectral fitting estimate (second trace); individual components (third trace); and fit residue (upper trace). NMO indicates neuromyelitis optica; Co, controls.

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    Fig 2.

    MR spectroscopy ratios of brain metabolites in the NAWM of patients with NMO and controls. White indicates patients with NMO; gray, controls; squares, NAA:Cr ratio; circles, NAA:Cho ratio; triangles, Cho:Cr ratio; bars, means.

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    Fig 3.

    MR spectroscopy absolute concentrations of brain metabolites in the NAWM of patients with NMO and controls. White indicates patients with NMO; gray, controls; circles, NAA absolute concentrations; squares, Cr absolute concentrations; triangles, Cho absolute concentrations; bars, means.

Tables

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  • Clinical data of patients with NMO and controls

    Neuromyelitis OpticaControls
    No.SexAge at MRS (yr)CSFDisease Duration (mo)RelapsesNo.SexAge at MRS (yr)
    Cells/μLEosinophils, NeutrophilsOligoclonal BandsTotalLETMONBrain Lesion
    1F17.0181YesNegative3243111F17.0
    2F28.552YesPositive9594502F28.5
    3F38.5147YesNegative1722003F40.0
    4F42.017–Negative6084134F42.0
    5F51.03–Negative6744005F51.0
    6F63.518–Positive1231311026F65.0
    7F65.544YesNegative5433007F63.0
    8M64.559–Negative5455008M64.0
    • Note:—MRS indicates MR spectroscopy; LETM, longitudinal extensive transverse myelitis; ON, optic neuritis; CSF, cerebrospinal fluid.

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American Journal of Neuroradiology: 31 (1)
American Journal of Neuroradiology
Vol. 31, Issue 1
1 Jan 2010
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Cite this article
F. Aboul-Enein, M. Krššák, R. Höftberger, D. Prayer, W. Kristoferitsch
Diffuse White Matter Damage Is Absent in Neuromyelitis Optica
American Journal of Neuroradiology Jan 2010, 31 (1) 76-79; DOI: 10.3174/ajnr.A1791

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Diffuse White Matter Damage Is Absent in Neuromyelitis Optica
F. Aboul-Enein, M. Krššák, R. Höftberger, D. Prayer, W. Kristoferitsch
American Journal of Neuroradiology Jan 2010, 31 (1) 76-79; DOI: 10.3174/ajnr.A1791
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