Table 3

Common brain malformation associated with neurometabolic disorders.

Brain malformationCorpus CallosumCerebrumCerebellumBrainstemGerminolytic cystsVessels
Nonketotic hyperglycinemia25CC dysgenesisVentriculomegalyVermis hypoplasia, mainly the inferior part
Pyruvate dehydrogenase deficiency26CC dysgenesis-Subcortical heterotopias
-Pachygyria
-Polymicrogyria
-Cerebellar hypoplasia
-Hypoplastic dentate nuclei
-Mega cisterna magna
Brainstem hypoplasia++
Mitochondriopathies21,27CC dysgenesisVentriculomegaly
Cortical dysplasia
++
Congenital disorder of glycosylation (PMM2-CDG)28Cerebellar hypoplasiaPontine hypoplasia
ALG8-CDG29CC hypoplasiaVentriculomegaly
ALG3-CDG30Pons hypoplasia
Zellweger syndrome31CC dysgenesis-Polymicrogyria
-Pachygyria
-Periventricular heterotopias
Cerebellar hypoplasia+++
Smith-Lemli-Opitz syndrome18Absent or hypoplastic CCVentriculomegaly
Holoprosencephaly
Hippocampal hypoplasia
Frontal lobes hypoplasia
Cerebellar hypoplasia
Mucolipidosis32CC dysgenesisCerebellar hypoplasiaPontine hypoplasia
Fumaric aciduria33Polymicrogyria
Ventriculomegaly
Open opercula
Bifunctional enzyme deficiency34
Adenylosuccinate lyase deficiency35Thin corpus callosum-wide sylvian fissures with operculum hypoplasia
-Lissencephaly
++
Neu-laxova syndrome (inborn error of serine metabolism)24Absence of CCVentriculomegaly
Simplified gyri
Cerebellar hypoplasiaHypoplastic brain stem
Carnitine palmitoyltransferase II deficiency36Abnormal migration disordersDandy-Walker malformation
Menkes disease37tortuous and elongated intracranial vessels
Sulfite oxidase deficiency38Cerebellar hypoplasia
Glutaric aciduria type I39-Widened operculum
-Dilatation of the subarachnoid spaces
-Underdeveloped frontotemporal lobes
-Incomplete hippocampal inversion
-Large cavum septum pellucidi
Glutaric aciduria type II40CC dysgenesis-Pachygyria
-Subcortical heterotopias
Cerebellar hypoplasia
Pyridoxine dependent epilepsy41,42-Thinning of the isthmus of the CC-mega cisterna magna
-Ventriculomegaly
-Heterotopias
-Cerebellar hypoplasia
-mega cisterna magna
Krabbe disease43Thick optic nerve and chiasma
Maternal phenylketonuria44CC dysgenesis
Asparagine synthetase deficiency45Simplified gyriPontine hypoplasia
Pyruvate carboxylase deficiency46Subcortical heterotopias++
Mucopolysaccharidoses type I and II47-Enlarged perivascular spaces
-Ventriculomegaly
-Enlarged perivascular spaces
-Mega cisterna magna
-Macrocerebellum
  • CC - corpus callosum