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Teaching NeuroImage: Optic Pathway Involvement in Maple Syrup Urine Disease

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A 10-day-old neonate presented with vomiting and irritability. Diffusion-weighted imaging showed abnormal signal intensities, including characteristic involvement of the optic pathway (Figure, A and B). Maple syrup urine disease (MSUD)… Click to show full abstract

A 10-day-old neonate presented with vomiting and irritability. Diffusion-weighted imaging showed abnormal signal intensities, including characteristic involvement of the optic pathway (Figure, A and B). Maple syrup urine disease (MSUD) was suspected. Blood tests confirmed elevated levels of branched-chain amino acids (BCAAs)—leucine, isoleucine, and valine.

Keywords: maple syrup; optic pathway; involvement; syrup urine; urine disease

Journal Title: Neurology
Year Published: 2022

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