Figure 3From: Mutations in ALDH6A1encoding methylmalonate semialdehyde dehydrogenase are associated with dysmyelination and transient methylmalonic aciduriaMRI images taken at 13 and 21 months of age. (A, B) Axial FLAIR images show only minimal interval progression in myelination over a 9 month span, with diffuse thinning of periventricular white matter evident at 13 months. (C, D) Axial T2-weighted images show markedly delayed myelination, with mild ventricular dilatation and slight enlargement of the frontal extra-axial spaces. (E, F) Sagittal T2-weighted images show a diffusely thin corpus callosum. MR spectroscopy demonstrated normal peaks of NAA, creatine and choline, and absence of a lactate peak.Back to article page