CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(03): 328-331
DOI: 10.4103/0971-3026.190413
Neuroimaging

Multiparametric 3T MRI evaluation of hereditary spastic paraplegia: A case report

Sonam Priya
Department of Radiology, IPGMER and SSKM Hospital, Kolkata, India
,
Naznin Siddique
Department of Radiology, IPGMER and SSKM Hospital, Kolkata, India
,
Ruchira Das
Department of Radiology, IPGMER and SSKM Hospital, Kolkata, India
,
Archana Singh
Department of Radiology, IPGMER and SSKM Hospital, Kolkata, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Hereditary spastic paraplegia (HSP) is a rare heterogeneous group of familial neurodegenerative disorders characterized by degeneration of the corticospinal tracts and posterior column of the spinal cord. Previously described radiological findings included nonspecific brain abnormalities such as brain atrophy and white matter lesions, as well as atrophy of the corpus callosum and spinal cord. Magnetic resonance spectroscopy may reveal reduced concentrations of normal brain metabolites and elevated levels of myoinositol. Diffusion tensor imaging shows increased mean diffusivity and reduced fractional anisotropy in the periventricular white matter, which is compatible with damaged myelinated axons. We present here two cases of HSP in a single family with typical imaging findings.



Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Harding AE. Hereditary “pure” spastic paraplegia. In: Harding A, editor. The Hereditary Ataxias and Related Disorders. Edinburgh, UK: Churchill Livingstone; 1984. pp. 191-213.
  • 2 Coutinho P, Barros J, Zemmouri R, Guimarães J, Alves C, Chorão R, et al. Clinical heterogeneity of autosomal recessive spastic paraplegias: Analysis of 106 patients in 46 families. Arch Neurol 1999;56:943-9.
  • 3 Hourani R, El-Hajj T, Barada WH, Hourani M, Yamout BI. MR imaging findings in autosomal recessive hereditary spastic paraplegia. AJNR Am J Neuroradiol 2009;30:936-40.
  • 4 Reid E. The hereditary spastic paraplegias. J Neurol 1999;246:995-1003.
  • 5 Okubo S, Ueda M, Kamiya T, Mizumura S, Terashi A, Katayama Y. Neurological and neuroradiological progression in hereditary spastic paraplegia with a thin corpus callosum. Acta Neurol Scand 2000;102:196-9.
  • 6 Rezende TJ, de Albuquerque M, Lamas GM, Martinez AR, Campos BM, Casseb RF, et al. Multimodal MRI-based study in patients with SPG4 mutations. PLoS ONE 2015;10:e0117666. doi: 10.1371/journal.pone. 0117666.
  • 7 Oğuz KK, Sanverdi E, Has A, Temuçin Ç, Türk S, Doerschner K. Tract-based spatial statistics of diffusion tensor imaging in hereditary spastic paraplegia with thin corpus callosum reveals widespread white matter changes. Diagn Interv Radiol 2013;19:181-6.
  • 8 Aghakhanyan G, Martinuzzi A, Frijia F, Vavla M, Hlavata H, Baratto A, et al. Brain white matter involvement in hereditary spastic paraplegias: Analysis with multiple diffusion tensor indices. AJNR Am J Neuroradiol 2014;35:1533-8.
  • 9 Bénézit A, Hertz-Pannier L, Dehaene-Lambertz G, Monzalvo K, Germanaud D, Duclap D, et al. Organising white matter in a brain without corpus callosum fibres. Cortex 2015;63:155-71.
  • 10 Krabbe K, Nielsen JE, Fallentin E, Fenger K, Herning M. MRI of autosomal dominant pure spastic paraplegia. Neuroradiology 1997;39:724-7.