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Tumor-like enlargement of the optic chiasm in an infant with Alexander disease.
[alexander disease]
We
report
a
patient
with
infantile
Alexander
disease
(
AXD
)
due
to
the
recurrent
p
.
Arg
79
Cys
GFAP
mutation
.
In
addition
to
typical
AXD
abnormalities
,
magnetic
resonance
imaging
demonstrated
a
tumor
-like
lesion
of
the
optic
chiasm
suggestive
of
a
glioma
.
A
transient
papilloedema
appeared
during
the
follow-up
and
the
lesion
partially
regressed
despite
a
worsening
of
white
matter
involvement
.
Rare
radiological
and
pathological
tumor
-like
lesions
have
already
been
reported
in
AXD
patients
.
This
patient
confirms
that
enlargement
of
the
optic
chiasm
is
a
rare
feature
of
AXD
,
possibly
linked
to
abnormal
astrocytic
proliferation
.
Diseases
Validation
Diseases presenting
"tumor-like lesion of the optic chiasm"
symptom
alexander disease
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