Pediatr Neurol. 2009 May;40(5):380-2.

Isolated cranial nerve enhancement in metachromatic leukodystrophy.

Singh RK, Leshner RT, Kadom N, Vanderver AL.

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Department of Neurology, Children's National Medical Center, Washington, DC 20010, USA.

Abstract

Metachromatic leukodystrophy is a lysosomal storage disorder with an estimated incidence of 1:40,000. Magnetic resonance imaging at time of diagnosis often shows symmetric white matter involvement, sparing the arcuate fibers. A 25-month-old female child presented with a cranial neuropathy, a spastic gait, decreased leukocyte arylsulfatase-A activity, and elevated urinary sulfatides. Magnetic resonance imaging revealed multiple cranial nerve enhancement, without intraparenchymal white matter involvement.

PMID:: 19380076; [PubMed - indexed for MEDLINE]
PMCID:: PMC2705062

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