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可能的脑白质消失症:病例报告及文献复习。

Probable Vanishing White Matter Disease: A Case Report and Literature Review.

机构信息

Department of pediatrics and child Health, School of Medicine, College of Health Sciences, Dire Dawa University,, Dire Dawa, Ethiopia.

Department of pediatrics and child Health, School of Medicine, College of Health Sciences, Haramaya University, Harar, Ethiopia.

出版信息

Ethiop J Health Sci. 2021 Nov;31(6):1307-1310. doi: 10.4314/ejhs.v31i6.28.

Abstract

BACKGROUND

Vanishing white matter disease is one of the most prevalent inherited childhood leukoencephalopathies. The disease is characterized by chronic, progressive and episodic deterioration with ataxia and spasticity.

CASE PRESENTATION

Here, we report a 15-month-old female child from Dire-Dawa, eastern part of Ethiopia, who presented with regression of developmental milestones and truncal ataxia since her age of 11 months following a febrile illness that occurred one month earlier. Magnetic resonance imaging of brain is suggestive of vanishing white matter disease.

CONCLUSIONS

We believe this case report will increase curiosity, awareness and knowledge of health professionals in Ethiopia and sub-Saharan Africa working with children in early consideration and the diagnosis of the disease.

摘要

背景

脑白质消失症是最常见的遗传性儿童脑白质营养不良之一。该病的特征为慢性、进行性和间歇性恶化,伴有共济失调和痉挛。

病例介绍

本病例报告了一位来自埃塞俄比亚东部德雷达瓦的 15 个月大女婴,她在 11 个月大时因一个月前的发热性疾病出现发育里程碑倒退和躯干共济失调,此后逐渐恶化。脑部磁共振成像提示脑白质消失症。

结论

我们相信这个病例报告将增加埃塞俄比亚和撒哈拉以南非洲地区与儿童打交道的医疗保健专业人员的好奇心、认识和知识,从而更早地考虑和诊断这种疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/8968366/f7f598438866/EJHS3106-1307Fig1.jpg

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