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Alexander disease: early presence of cerebral MRI criteria.
[alexander disease]
Alexander
disease
is
a
rare
neurodegenerative
disorder
.
Its
most
frequent
subtype
,
the
infantile
form
,
is
characterized
by
an
early
onset
and
a
rapid
neurological
deterioration
during
the
first
months
of
life
.
Since
the
publication
of
cerebral
radiological
criteria
in
2001
,
the
disease
has
often
been
recognized
by
magnetic
resonance
imaging
(
MRI
)
findings
.
We
report
the
case
of
a
girl
who
at
the
age
of
3
months
presented
with
partial
seizures
and
a
normal
neurological
examination
.
MRI
revealed
the
presence
of
a
periventricular
rim
,
extensive
frontal
white
matter
abnormalities
,
abnormalities
of
the
basal
ganglia
and
thalami
and
contrast
enhancement
involving
optic
chiasm
,
fornix
,
hypothalamus
and
mamillary
bodies
,
corresponding
to
four
of
the
five
reported
MRI
criteria
for
Alexander
disease
.
Additional
MRI
abnormalities
not
described
so
far
were
also
observed
.
The
diagnosis
was
confirmed
by
genetic
analysis
.
This
case
illustrates
that
diagnostic
MRI
abnormalities
of
Alexander
disease
may
be
present
at
a
very
young
age
,
long
before
the
appearance
of
characteristic
clinical
signs
.
Early
diagnosis
by
MRI
allows
prompt
counselling
of
families
.
Diseases
Validation
Diseases presenting
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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