We serially examined in vivo brain glycine levels in an infant with nonketotic hyperglycemia (NKH) using single-voxel proton magnetic resonance spectroscopy (MRS) with different point-resolved spectroscopic localization sequence echo times (TEs). The time-course changes of brain glycine obtained with TEs of 60 and 270 ms corresponded with glycine concentrations in cerebrospinal fluid and with the clinical condition of the infant. By appropriately combing a pulse sequence and acquisition parameters, proton MRS can evaluate brain glycine levels to help diagnose NKH.
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