Confirmation of Diagnoses
Case 15
lMRS Findings
l
lSpectrum shows
lelevated lipids
land elevated Choline,
lsuggesting abnormal
llipid metabolism. 
l
lImpression
l
lFindings consistent
lwith abnormal lipid
lmetabolism.
l
lZellweger’s Syndrome is a congenital
lhereditary disorder of peroxisomal
ldysfunction.
Basal Ganglia
NAA
Cr
Cho
Cho
Cr
NAA
Lipids
TE = 144 ms
TE = 35 ms