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- W134906977 abstract "A remarkable, intermittent sudden-onset vigilance and movement disorder in an exclusively breast-fed infant is reported, which was caused by cobalamin depletion due to maternal vitamin B12 malabsorption. The lack of cobalamin caused a severe encephalopathy in the infant, whose brain displayed a striking loss of volume and a delay of myelination. Proton magnetic resonance spectroscopy revealed an accumulation of lactate in the gray and white matter of the brain and a sustained depletion of choline-containing compounds in the white matter, reflecting a reversible disturbance of oxidative energy metabolism in brain cells and a long-lasting hypomyelination disorder. The clinical picture in conjunction with MRI and spectroscopic data of this case study yields more insight into the functions of cobalamin in the cerebral metabolism." @default.
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- W134906977 date "2003-10-01" @default.
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- W134906977 title "Infantile Cobalamin Deficiency with Cerebral Lactate Accumulation and Sustained Choline Depletion" @default.
- W134906977 doi "https://doi.org/10.1055/s-2003-43256" @default.
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