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dc.contributor.authorBandaralage, Sahan P Semasinghe
dc.contributor.authorFarnaghi, Soheil
dc.contributor.authorDulhunty, Joel M
dc.contributor.authorKothari, Alka
dc.date.accessioned2019-03-28T03:46:07Z
dc.date.available2019-03-28T03:46:07Z
dc.date.issued2016
dc.identifier.issn0301-0449
dc.identifier.doi10.1007/s00247-015-3492-8
dc.identifier.urihttp://hdl.handle.net/10072/142516
dc.description.abstractBackground: Holocarboxylase synthetase deficiency results in impaired activation of enzymes implicated in glucose, fatty acid and amino acid metabolism. Antenatal imaging and postnatal imaging are useful in making the diagnosis. Untreated holocarboxylase synthetase deficiency is fatal, while antenatal and postnatal biotin supplementation is associated with good clinical outcomes. Although biochemical assays are required for definitive diagnosis, certain radiologic features assist in the diagnosis of holocarboxylase synthetase deficiency. Objective: To review evidence regarding radiologic diagnostic features of holocarboxylase synthetase deficiency in the antenatal and postnatal period. Materials and methods: A systematic review of all published cases of holocarboxylase synthetase deficiency identified by a search of Pubmed, Scopus and Web of Science. Results: A total of 75 patients with holocarboxylase synthetase deficiency were identified from the systematic review, which screened 687 manuscripts. Most patients with imaging (19/22, 86%) had abnormal findings, the most common being subependymal cysts, ventriculomegaly and intraventricular hemorrhage. Conclusion: Although the radiologic features of subependymal cysts, ventriculomegaly, intraventricular hemorrhage and intrauterine growth restriction may be found in the setting of other pathologies, these findings should prompt consideration of holocarboxylase synthetase deficiency in at-risk children.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofpagefrom357
dc.relation.ispartofpageto364
dc.relation.ispartofissue3
dc.relation.ispartofjournalPediatric Radiology
dc.relation.ispartofvolume46
dc.subject.fieldofresearchReproductive medicine not elsewhere classified
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchcode321599
dc.subject.fieldofresearchcode3213
dc.titleAntenatal and postnatal radiologic diagnosis of holocarboxylase synthetase deficiency: a systematic review
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Medicine
gro.hasfulltextNo Full Text
gro.griffith.authorBandaralage, Sahan P.


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