L1CAM variants cause two distinct imaging phenotypes on fetal MRI

Andrea Accogli, Stacy Goergen, Giana Izzo, Kshitij Mankad, Haratz K Krajden, Cecilia Parazzini, Michael Fahey, Lara Menzies, Julia Baptista, Lucia Carpineta, Domenico Tortora, Ezio Fulcheri, Vellone V Gaetano, Dario Paladini, Luigina Spaccini, Valentina Toto, Claire Trayers, Sira L Ben, Adi Reches, Gustavo MalingerVincenzo Salpietro, Marco P De, Myriam Srour, Federico Zara, Valeria Capra, Andrea Rossi*, Mariasavina Severino

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

<jats:title>Abstract</jats:title><jats:p>Data on fetal MRI in L1 syndrome are scarce with relevant implications for parental counseling and surgical planning. We identified two fetal MR imaging patterns in 10 fetuses harboring <jats:italic>L1CAM</jats:italic> mutations: the first, observed in 9 fetuses was characterized by callosal anomalies, diencephalosynapsis, and a distinct brainstem malformation with diencephalic–mesencephalic junction dysplasia and brainstem kinking. Cerebellar vermis hypoplasia, aqueductal stenosis, obstructive hydrocephalus, and pontine hypoplasia were variably associated. The second pattern observed in one fetus was characterized by callosal dysgenesis, reduced white matter, and pontine hypoplasia. The identification of these features should alert clinicians to offer a prenatal <jats:italic>L1CAM</jats:italic> testing.</jats:p>
Original languageEnglish
Pages (from-to)2004-2012
Number of pages0
JournalAnnals of Clinical and Translational Neurology
Volume8
Issue number10
Early online date12 Sept 2021
DOIs
Publication statusPublished - Oct 2021

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