Publications by authors named "N G Stoodley"

Unlabelled: Rate and severity of radiological features of physical abuse in children during the first UK-wide COVID-19 enforced national lockdown.

Objective: To assess the number, type and outcome of radiological investigations for children presenting to hospital with suspected physical abuse (SPA; including abusive head trauma) during the first national COVID-19 enforced lockdown compared with the prelockdown period.

Design: Multicentre, retrospective, observational, interrupted time series analysis.

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One of the most challenging areas of radiological imaging in children is the diagnosis of physical abuse. There is a dearth of paediatric radiologists willing to act as expert witnesses, particularly in the family courts. There are a number of reasons why radiologists may not be interested or willing to put themselves forward to work as expert witnesses in this field.

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The gene encodes tubulin alpha-1A, a protein that is highly expressed in the fetal brain. Alpha- and beta-tubulin subunits form dimers, which then co-assemble into microtubule polymers: dynamic, scaffold-like structures that perform key functions during neurogenesis, neuronal migration, and cortical organisation. Mutations in have been reported to cause a range of brain malformations.

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Aims: To develop an expert consensus statement regarding appropriate clinical and forensic post mortem neurological imaging.

Methods: An expert panel of clinicians were recruited from registered members of the British Neuropathological Society (BNS) and the International Society of Forensic Radiology and Imaging (ISFRI) with post mortem expertise. Following a focus group meeting, 16 core statements were incorporated into an online modified Delphi survey and each panellist was asked to score their level of agreement.

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Article Synopsis
  • Polymicrogyria is a brain development disorder whose causes are not well understood, but recent research identified specific mutations in the GRIN1 gene in patients with the condition.
  • Two of 57 parent-child pairs showed de novo GRIN1 mutations, and additional mutations were found in other patients with cortical malformations, all linked to severe developmental issues.
  • The identified mutations affect the N-methyl-d-aspartate receptor's function, showing unexpected changes in activity, which enhances understanding of the genetic basis and biological mechanisms involved in polymicrogyria.
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