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Alexander's leukodystrophy (Alexander disease)
Epidemiology: rare
Pathology:
- progressive leukoencephalopathy due to failure of central myelination
- megalencephaly/macrocephaly
- hydrocephalus
- demyelination
- associated with numerous Rosenthal fibers, especially perivascular & subpial locations
Genetics:
- autosomal recessive disorder
- associated with mutations in genes for
a) GFAP
b) NADH-ubiquinone oxidoreductase flavoprotein-1
Clinical manifestations:
- the most common form affects infants & young children
- mental retardation, psychomotor retardation
- seizures
- juvenile or adult forms
- ataxia
- bulbar signs
- spasticity
- more slowly progressive course
Complications:
- usually death within the first decade of life
Related
alpha-crystallin B chain; alpha(B)-crystallin; heat shock protein beta-5; HspB5; renal carcinoma antigen NY-REN-27; Rosenthal fiber component (CRYAB CRYA2)
Specific
Alexander's leukodystrophy/GFAP mutation
Alexander's leukodystrophy/NDUFV1 mutation
General
leukodystrophy
Properties
ACCUMULATION: alpha-crystallin B chain
Database Correlations
OMIM 203450
References
- OMIM :accession 203450
- National Institute of Neurological Disorders and Stroke (NINDS)
NINDS Alexander Disease Information Page
https://www.ninds.nih.gov/Disorders/All-Disorders/Alexander-Disease-Information-Page