Cover Image

A RARE CASE OF GLOBOID CELL LEUCODYSTROPHY

SANTOSH KUMAR

Abstract


Krabbe disease (also known as globoid cell               leukodystrophy or galactosylceramide lipidosis) is a fatal degenerative disorder that affects the myelin sheath of the nervous system We present a rare case of Krabbes                  leukodystrophy in a 8 month old child who presented with features of hypertonia ,generalized seizures, recurrent fever and feeding difficulties and recurrent vomiting. Examination revealed classical features of spasticity and hypertonia and swallowing difficulty , on evaluvation for neurological illness MRI revealed characteristic bilateral symmetrical                         hyerintensities involving the cortical white matter ,enzyme assay confirmed the diagnosis of Krabbe leukodystrophy


Full Text:

PDF

References


Suzuki K, Suzuki Y. Globoid cell leucodystrophy (Krabbe's disease): deficiency of galactocerebroside beta-galactosidase. Proc Natl Acad Sci U S A. Jun 1970;66(2):302-9.

Suzuki K. Globoid cell leukodystrophy (Krabbe's disease): update. J Child Neurol. Sep 2003;18(9):595-603.

Krivit W, Shapiro EG, Peters C, et al. Hematopoietic stem-cell transplantation in globoid-cell leukodystrophy. N Engl J Med. Apr 16 1998;338(16):1119-26.

Wenger DA, Rafi MA, Luzi P. Molecular genetics of Krabbe disease (globoid cell leukodystrophy): diagnostic and clinical implications. Hum Mutat. 1997;10(4):268-79.

Loonen MC, Van Diggelen OP, Janse HC, Kleijer WJ, Arts WF. Late-onset globoid cell leucodystrophy (Krabbe's disease). Clinical and genetic delineation of two forms and their relation to the early-infantile form. Neuropediatrics. Aug 1985;16(3):137-42.

Hagberg B. The clinical diagnosis of Krabbe's infantile leucodystrophy. Acta Paediatr Scand. 1963;52:213.

Korn-Lubetzki I, Dor-Wollman T, Soffer D, et al. Early peripheral nervous system manifestations of infantile Krabbe disease. Pediatr Neurol. Feb 2003;28(2):115-8.

Sedel F, Tourbah A, Fontaine B, Lubetzki C, Baumann N, Saudubray JM. Leukoencephalopathies associated with inborn errors of metabolism in adults. J Inherit Metab Dis.

Jun 2008;31(3):295-307.

Udow S, Bunge M, Ryner L, Mhanni AA, Salman MS. Prolonged survival and serial magnetic resonance imaging/magnetic resonance spectroscopy changes in infantile Krabbe disease. Pediatr Neurol. Oct 2012;47(4):299-302.

Duffner PK, Caviness VS Jr, Erbe RW, Patterson MC, Schultz KR, Wenger DA. The long-term outcomes of presymptomatic infants transplanted for Krabbe disease: report of the workshop held on July 11 and 12, 2008, Holiday Valley, New York. Genet Med. Jun 2009;11(6):450-4.

Milind S. Tullu, Mamta N. Muranjan, Pratima P. Kondurkar and

Burjor A. Bharucha et al Krabbe Disease - Clinical Profile, Indian paediatrics


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An initiative of The Tamil Nadu Dr M.G.R. Medical University