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Figure 4 | Orphanet Journal of Rare Diseases

Figure 4

From: Proposed guidelines for the diagnosis and management of methylmalonic and propionic acidemia

Figure 4

Neuroimaging finding in PA: Male child with PA, symptomatic from day 4 of life, diagnosed at the age of 4 months. An MRI was obtained at the age of 5 years when he developed acute encephalopathy. Cerebral cortices especially of the temporal and occipital lobes and the basal ganglia (caudate and lentiform nuclei) are swollen and mildly hyperintense on axial T2W TSE (A). Hyperintensity on trace DWI (B) and low intensity on ADC maps (C) suggestive of restricted diffusion are seen in those affected regions.

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