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Published on: December 8, 2023
CAD-Related Disorder (EIEE-50) in an Infant With Cortical Visual Impairment
Sarah Thurman1, Callie Fischer2, Julie Guerin3
1Department of Clinical Genomics, Mayo Clinic, Rochester, MN, USA.
Insights
CAD-related disorder, a treatable condition, can cause severe cortical visual impairment by affecting visual cortex development. Early diagnosis and uridine monophosphate supplementation show promising results.
Area of Science:
- Genetics
- Neurology
- Ophthalmology
Background:
- CAD-related disorder (EIEE-50) is a genetic condition.
- This study investigates its association with visual impairment.
Observation:
- An infant presented with seizures, microcephaly, hypotonia, anemia, and severe cortical visual impairment.
- Genetic sequencing identified two variants in the CAD gene.
- Brain MRI revealed cortical malformations.
Findings:
- CAD variants are linked to severe cortical visual impairment.
- Uridine monophosphate supplementation improved seizures, hypotonia, development, and anemia.
Implications:
- CAD-related disorder is a treatable cause of secondary cortical visual impairment.
- This highlights a newly described clinical manifestation and therapeutic approach.
Purpose:
To document the association of CAD-related disorder (EIEE-50) with cortical visual impairment.
Observations:
An 8-month-old Caucasian boy with whole genome sequencing confirming 2 variants in the gene CAD, who presented with severe seizures, microcephaly, hyperreflexia, hypotonia, anemia, and severe cortical visual impairment. Magnetic resonance imaging (MRI) of the brain noted thickened cortical gray matter along the right calcarine fissure as well as changes suggesting malformation of cortical development. Empiric uridine monophosphate supplementation has significantly improved seizure activity, hypotonia, and development and has led to resolution of anemia.
Conclusions And Importance:
CAD-related disorder is treatable and may affect visual cortical development causing severe secondary cortical visual impairment, a newly described clinical manifestation.
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