Macintosh Julia, Thiffault Isabelle, Pastinen Tomi, Sztriha László, Bernard Geneviève
Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada.
Child Health and Human Development Program, Research Institute of the McGill University Health Center, Montreal, QC, Canada.
Child Neurol Open. 2023 May 29;10:2329048X231176673. doi: 10.1177/2329048X231176673. eCollection 2023 Jan-Dec.
pathogenic variants in have recently been reported as a novel genetic cause of leukoencephalopathy. Here, we describe a male individual who presented in the first year of life with clinical features resembling Pelizaeus-Merzbacher disease (PMD), including nystagmus, hypotonia, and global developmental delay, and which later progressed to include ataxia and spasticity. Brain MRI at the age of two revealed diffuse hypomyelination. This report adds to the limited number of individuals published and further reinforces variants in as a molecular cause of a leukodystrophy that clinically and radiologically resembles PMD.
最近有报道称,[相关基因]中的致病变异是脑白质病的一种新的遗传病因。在此,我们描述了一名男性个体,他在出生后第一年出现了类似于佩利措伊斯-梅茨巴赫病(PMD)的临床特征,包括眼球震颤、肌张力减退和全面发育迟缓,随后病情进展,出现共济失调和痉挛。两岁时的脑部MRI显示弥漫性髓鞘形成不良。本报告增加了已发表的病例数量,并进一步强化了[相关基因]中的变异是一种临床上和影像学上类似于PMD的脑白质营养不良的分子病因。