K. Ihara et al., High-intensity basal ganglia lesions on T1-weighted images in two toddlerswith elevated blood manganese with portosystemic shunts, NEURORADIOL, 41(3), 1999, pp. 195-198
We report two toddlers with portosystemic shunts who had symmetrical high-s
ignal globus pallidus lesions on T1- but not T2-weighted MRI, and measureme
nt of whole blood manganese at 2 years of age. These cases suggest that por
tosystemic shunts can cause elevation of blood manganese and result in mang
anese accumulation in the globus pallidus, causing high signal on T1-weight
ed images even in asymptomatic toddlers.