Table 1. Major previous reports of brain MRI abnormalities related to congenital adrenal hyperplasia.
Authors and year | Cases | Age range | Disease phenotype | Neurologic manifestations | Main MRI findings | |
N | % | (yr) | ||||
Sinforiani et al., 1994 | 4 | 27 | >16 | SW: 2 SV: 2 | No | - Leukoencephalopathy- Cerebral atrophy- Ventricular dilatation |
Nass et al., 1997 | 18 | 46.1 | 4–33 | SW: 12 SV: 6 | None except for one with known stroke | - Leukoencephalopathy- Cerebral atrophy |
Bergamashi et al., 2006 | 10 | 45 | 16–23 | SW: 6 SV: 4 | No | Leukoencephalopathy |
Gaudiano et al., 2010 | 3* | 100 | 27–54 | Proband: classic form Parents: heterozygotes for CYP21 mutation | Yes** | - Leukoencephalopathy- Cerebellar atrophy- Cerebral atrophy- Ventricular dilatation |
MRI: magnetic resonance imaging. SV: simple virilizing. SW: salt wasting. %: Percentage of patients with brain abnormalities in the study population. *A family with congenital adrenal hyperplasia and brain abnormalities. **Proband with postural tremor and cerebellar syndrome. The mother had blurry vision, diplopia and paresthesia, and the father had no neurologic manifestations.