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Indian Journal of Pediatrics
Published in: Indian Journal of Pediatrics 8/2019

01-08-2019 | Magnetic Resonance Imaging | Scientific Letter

“Face of the Giant Panda” Sign and Temporal Cystic Changes in Maple Syrup Urine Disease

Authors: Indar Kumar Sharawat, Gurpreet Singh Kochar, Arushi Gahlot Saini, Naveen Sankhyan

Published in: Indian Journal of Pediatrics | Issue 8/2019

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Excerpt

To the Editor: A 15-mo-old girl was brought with concern of delayed attainment of developmental milestones. She was able to walk with support, transfer objects, had stranger anxiety and babbling. She was born to a non-consanguineous couple with normal antenatal and perinatal period. There was no history of loss of acquired milestones, seizures, abnormal body movements or abnormal urine or body odor. Her family history was unremarkable. On examination, she had a developmental quotient of 50% and a small head (45.4 cm, −2 z-score). The rest of her neurological examination was unremarkable. …
Literature
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Lee JY, Chiong MA, Estrada SC, Cutiongco-De la Paz EM, Silao CLT, Padilla CD. Maple syrup urine disease (MSUD)—clinical profile of 47 Filipino patients. J Inherit Metab Dis. 2008;31:281–5.CrossRef
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van der Knaap MS, Valk J. Maple syrup urine disease. In: van der Knaap MS, Valk J, editors. Magnetic Resonance of Myelination and Myelin Disorders, 3rd ed. Berlin Heidelberg: Springer-Verlag; 2005. p. 311–20.
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Alkhalik Basha MA, Refaat R, Ahmed AF, et al. Brain magnetic resonance spectroscopy (MRS) as a diagnostic tool for detecting early neurological changes in children with Wilson’s disease. Eur J Radiol. 2019;111:41–6.CrossRefPubMed
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Sonam K, Bindu PS, Gayathri N, et al. The “double panda” sign in Leigh disease. J Child Neurol. 2014;29:980–2.CrossRefPubMed
Metadata
Title
“Face of the Giant Panda” Sign and Temporal Cystic Changes in Maple Syrup Urine Disease
Authors
Indar Kumar Sharawat
Gurpreet Singh Kochar
Arushi Gahlot Saini
Naveen Sankhyan
Publication date
01-08-2019
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 8/2019
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-019-02926-3

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