A case of infantile Alexander disease diagnosed by magnetic resonance imaging and genetic analysis

被引:5
作者
Sakakibara, Takafumi
Takahashi, Yukihiro [1 ]
Fukuda, Kazuyoshi
Inoue, Tomomi
Kurosawa, Tomoko
Nishikubo, Toshiya
Shima, Midori
Taoka, Toshiaki
Aida, Noriko
Tsujino, Seiichi
Kanazawa, Naomi
Yoshioka, Akira
机构
[1] Nara Med Univ Hosp, Div Neonatal Intens Care, Nara 6358522, Japan
[2] Nara Med Univ, Dept Pediat, Nara, Japan
[3] Nara Med Univ, Dept Radiol, Nara, Japan
[4] Kanagawa Children Med Ctr, Div Radiol, Kanagawa, Japan
关键词
Alexander disease; infantile type; GFAP; R239H; MRI;
D O I
10.1016/j.braindev.2007.02.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We encountered a male infant with infantile Alexander disease presenting with megalencephaly and hydrocephalus as a neonate and subtle seizures at 3 months of age. At 6 months of age, bulbar paralysis appeared. Brain magnetic resonance imaging (MRI) showed abnormal findings with white matter involvement and a characteristic periventricular rim, satisfying the diagnostic criteria proposed by van der Knaap, except for MRI contrast. R239H mutation of glial fibrillary acidic protein gene was identified, representing a common cause of infantile-type Alexander disease. (c) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:525 / 528
页数:4
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