Tay-Sachs disease without cherry-red spot: a case report
نویسندگان
چکیده
Case presentation: Boy, 4 years old. Born term, cesarean for oligohydramnios, without consanguinity. Mother with hypothyroidism, maternal uncle autism, cousin epilepsy and paternal cerebral palsy. Adequate neuropsychomotor up to 2 of age. At this age, started ataxic gait, refractory epilepsy, spasticity, language loss dysphagia. Multiple hospitalizations due bronchoaspiration pneumonia. Gastrostomy tracheostomy were performed at He used levetiracetam, clobazam, valproic acid, nitrazepam phenytoin optimized doses, still bad control epilepsy. Followed by palliative care. Cranial MRI showed hyperintensity on T2/FLAIR in the white matter (subinsular, periventricular, thalamus, internal capsule's posterior arm dentate nucleus). Genetic exam two heterozygous variants HexA. Fundoscopic was normal. Death 11 months status epilepticus.
منابع مشابه
'Cherry red spot' in a patient with Tay-Sachs disease: case report.
Tay-Sachs disease is an autosomal recessive disorder of sphingolipid metabolism, caused by enzyme hexosaminidase A deficiency that leads to an accumulation of GM2 in neurocytes which results in progressive loss of neurological function. The accumulation of lipid in retinal ganglion cells that leads to a chalk-white appearance of the fundus called 'cherry red spot' is the hallmark of Tay-Sachs d...
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متن کاملTay-Sachs Disease
In 1881 British ophthalmologist Warren Tay made an unusual observation. He reported a cherry-red spot on the retina of a one-year-old patient, a patient who was also showing signs of progressive degeneration of the central nervous system [4] as manifested in the child?s physical and mental retardation [5]. This cherry-red spot is a characteristic that would eventually come to be associated with...
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ژورنال
عنوان ژورنال: Arquivos De Neuro-psiquiatria
سال: 2023
ISSN: ['1678-4227', '0004-282X']
DOI: https://doi.org/10.1055/s-0043-1774607