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Magnetic resonance imaging "tigroid pattern" in Alexander disease.
[alexander disease]
Alexander
disease
(
AD
)
is
a
rare
white
matter
disorder
resulting
from
mutations
in
the
gene
encoding
for
the
glial
fibrillary
acidic
protein
.
Diffuse
white
matter
involvement
with
frontal
predominance
is
typical
of
infantile
AD
that
is
clinically
characterized
by
progressive
motor
and
mental
retardation
,
seizures
,
and
megaloencephaly
.
We
describe
the
case
of
a
10
-
year
-old
patient
harboring
a
de
novo
missense
mutation
c
.
235
C
>
T
(
p
.
R
79
C
)
in
the
GFAP
gene
,
showing
a
relatively
slow
clinical
and
neuroradiologic
progression
of
disease
associated
with
a
previously
unreported
magnetic
resonance
imaging
(
MRI
)
finding
consistent
with
the
so
-called
tigroid
pattern
.
This
pattern
has
been
previously
described
in
only
a
few
different
neurologic
conditions
,
including
Pelizaeus-
Merzbacher
disease
and
some
lysosomal
disorders
.
This
report
expands
the
spectrum
of
MRI
features
in
AD
.
Diseases
Validation
Diseases presenting
"and megaloencephaly"
symptom
alexander disease
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