Familial spastic paraplegia, axonal sensory-motor polyneuropathy and bulbar amyotrophy with facial dysmorphia: new cases of Troyer-like syndrome

Eur J Paediatr Neurol. 1998;2(5):245-54. doi: 10.1016/s1090-3798(98)80038-x.

Abstract

We studied two Libyan siblings, born to healthy consanguineous parents, who had suffered from a progressive neurological disorder, characterized by facial dysmorphia, ataxia, spastic paraplegia and an axonal sensory-motor polyneuropathy, since the age of 3 years. The clinical picture progressed slowly over a 6-year period to involve also bulbar and distal limb muscles. Interestingly, we found unusual tubulofilamentous inclusions in peripheral nerves and presynaptic buttons at the neuromuscular junctions. Describing the clinical picture of this presumably new disorder, we comment on the difference from similar conditions.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Atrophy / pathology
  • Axons / pathology*
  • Biopsy
  • Cerebellum / pathology*
  • Child
  • Demyelinating Diseases / pathology
  • Diagnosis, Differential
  • Face / abnormalities*
  • Female
  • Hereditary Sensory and Autonomic Neuropathies / diagnosis
  • Hereditary Sensory and Autonomic Neuropathies / genetics*
  • Hereditary Sensory and Autonomic Neuropathies / physiopathology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Paraplegia / diagnosis
  • Paraplegia / genetics*
  • Spinal Cord / pathology*
  • Sural Nerve / pathology*
  • Sural Nerve / physiopathology
  • Syndrome