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Significance of the Absence of Focal Areas of Signal Intensity on Brain Magnetic Resonance Imaging Examinations in Legius Syndrome

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F25%3A10498773" target="_blank" >RIV/00064165:_____/25:10498773 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11110/25:10498773 RIV/00216208:11130/25:10498773 RIV/00064203:_____/25:10498773

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=xJnL.wMxtB" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=xJnL.wMxtB</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.pediatrneurol.2025.05.008" target="_blank" >10.1016/j.pediatrneurol.2025.05.008</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Significance of the Absence of Focal Areas of Signal Intensity on Brain Magnetic Resonance Imaging Examinations in Legius Syndrome

  • Original language description

    BACKGROUND: Legius syndrome (LGSS) is a rare neurocutaneous disorder that is differentiated from neurofibromatosis type I (NF1) based on pathogenic variants in the SPRED1 gene (15q14). Similar to NF1, LGSS also presents with café-au-lait macules on the skin and sometimes intertriginous freckling; however, the other diagnostic features of NF1 are absent in LGSS. Clinical contradistinction from NF1 is important for an LGSS diagnosis, but molecular genetic confirmation is necessary. Hypersignal areas on T2-weighted magnetic resonance imaging (MRI) (focal areas of signal intensity [FASI]) in specific brain locations are another common clinical finding in NF1. The aim of this study is to compare the incidence of FASI in LGSS and NF1 in an effort to further distinguish these two clinical entities and evaluate the clinical and diagnostic significance of an absence of FASI in LGSS. METHODS: We have examined a group of 16 children with LGSS and a group of 130 children with NF1. All children had been clinically and molecularly diagnosed with LGSS or NF1 and had had MRI examinations of their brains. FASI findings on these scans were evaluated. The independence of FASI on diagnosis was evaluated using the Fischer exact test. RESULTS: FASI were found in 116 of 130 (89%) children with NF1, and no FASI was detected in children with LGSS (zero of 16, 0%). The presence of FASI was significantly dependent on the diagnosis. CONCLUSIONS: We suggest that the absence of FASI on brain MRI examinations of patients with LGSS is an important clinical and diagnostic feature of this disorder.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30103 - Neurosciences (including psychophysiology)

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Pediatric Neurology

  • ISSN

    0887-8994

  • e-ISSN

    1873-5150

  • Volume of the periodical

    169

  • Issue of the periodical within the volume

    August

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    6

  • Pages from-to

    142-147

  • UT code for WoS article

    001511895400001

  • EID of the result in the Scopus database

    2-s2.0-105007787284