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Infantile Alexander Disease: Case Report and Review of Literature
Soumyabrata Sarkar1, Rupam Sinha2, Amitabha Chakraborty3
1Reader, Department of Oral Medicine and Radiology, Haldia Institute of Dental sciences and Research, Haldia, West Bengal, India.
Insights
Alexander Disease (AD) is a rare genetic disorder affecting infants and children, characterized by progressive neurological decline. This case highlights typical clinical and imaging findings in infantile AD, aiding diagnosis.
Area of Science:
- Neuroscience
- Genetics
- Pediatric Neurology
Background:
- Alexander Disease (AD) is an autosomal dominant leukodystrophy affecting infants and children.
- The infantile form is the most common subtype, often leading to death within ten years.
- Diagnosis is typically established through clinical presentation and magnetic resonance imaging (MRI).
Observation:
- This report details a specific case of Infantile Alexander Disease.
- The patient exhibited characteristic progressive psychomotor deficiency and loss of developmental milestones.
- Pyramidal signs and seizures were also noted clinical features.
Findings:
- The case presented with hallmark clinical manifestations of Infantile AD.
- Radiological findings on MRI were consistent with the diagnosis of Alexander Disease.
- Characteristic features aid in the early and accurate diagnosis of this leukodystrophy.
Implications:
- Understanding these features is crucial for timely diagnosis and management of Alexander Disease.
- This case contributes to the clinical knowledge base of infantile leukodystrophies.
- Early diagnosis can potentially inform genetic counseling and future therapeutic strategies.
Abstract:
Alexander Disease (AD) is an autosomal dominant leukodystrophy and occurs predominantly in infants and children. It usually results in death within ten years after onset. Among the four subtypes, infantile form comprises the most of affected individuals. It presents in the first two years of life, typically with progressive psychomotor deficiency, loss of developmental milestones, seizures, and pyramidal signs. Clinical and magnetic resonance image findings usually establish diagnosis of AD. Here, we present a case of Infantile AD with characteristic clinical and radiological features.
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