Role of MRI in X-linked adrenoleukodystrophy—A case report

X-linked adrenoleukodystrophy is a rare inherited peroxisomal disorder that occurs due to a genetic mutation. This mutation impairs normal transport of very long-chain fatty acids (VLCFAs) into peroxisomes, hence impeding VLCFA breakdown leading to its accumulation in plasma and tissues of the body....

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Main Authors: Sajiva Aryal, MBBS, Suraj Sharma, MBBS, MD, Saroj Poudel, MBBS, Sunita Sharma, MPH
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322007130
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author Sajiva Aryal, MBBS
Suraj Sharma, MBBS, MD
Saroj Poudel, MBBS
Sunita Sharma, MPH
author_facet Sajiva Aryal, MBBS
Suraj Sharma, MBBS, MD
Saroj Poudel, MBBS
Sunita Sharma, MPH
author_sort Sajiva Aryal, MBBS
collection DOAJ
description X-linked adrenoleukodystrophy is a rare inherited peroxisomal disorder that occurs due to a genetic mutation. This mutation impairs normal transport of very long-chain fatty acids (VLCFAs) into peroxisomes, hence impeding VLCFA breakdown leading to its accumulation in plasma and tissues of the body. Due to its X-linked inheritance, it classically affects young males with most cases diagnosed during childhood. There are characteristic MRI findings in brain which can aid in diagnosis of X-ALD. We hereby present a case of a 10-year-old boy who presented with neurological and behavioral deterioration with MRI findings suggestive of X-ALD. MRI not only aids in diagnosis of X-ALD but can also identify the pattern of brain involvement which serves an important role in prognosis and outcome of the disease.
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spelling doaj.art-16c0c1d7d73746ea80398c90ba55a9882022-12-22T03:18:10ZengElsevierRadiology Case Reports1930-04332022-11-01171144034407Role of MRI in X-linked adrenoleukodystrophy—A case reportSajiva Aryal, MBBS0Suraj Sharma, MBBS, MD1Saroj Poudel, MBBS2Sunita Sharma, MPH3Kathmandu Medical College, Kathmandu, Nepal; Corresponding author.Bir Hospital, NepalChitwan Medical College, Chitwan, NepalTribhuwan University Teaching Hospital, Kathmandu, NepalX-linked adrenoleukodystrophy is a rare inherited peroxisomal disorder that occurs due to a genetic mutation. This mutation impairs normal transport of very long-chain fatty acids (VLCFAs) into peroxisomes, hence impeding VLCFA breakdown leading to its accumulation in plasma and tissues of the body. Due to its X-linked inheritance, it classically affects young males with most cases diagnosed during childhood. There are characteristic MRI findings in brain which can aid in diagnosis of X-ALD. We hereby present a case of a 10-year-old boy who presented with neurological and behavioral deterioration with MRI findings suggestive of X-ALD. MRI not only aids in diagnosis of X-ALD but can also identify the pattern of brain involvement which serves an important role in prognosis and outcome of the disease.http://www.sciencedirect.com/science/article/pii/S1930043322007130AdrenoleukodystrophyVery long chain fatty acidsX-linked disorder
spellingShingle Sajiva Aryal, MBBS
Suraj Sharma, MBBS, MD
Saroj Poudel, MBBS
Sunita Sharma, MPH
Role of MRI in X-linked adrenoleukodystrophy—A case report
Radiology Case Reports
Adrenoleukodystrophy
Very long chain fatty acids
X-linked disorder
title Role of MRI in X-linked adrenoleukodystrophy—A case report
title_full Role of MRI in X-linked adrenoleukodystrophy—A case report
title_fullStr Role of MRI in X-linked adrenoleukodystrophy—A case report
title_full_unstemmed Role of MRI in X-linked adrenoleukodystrophy—A case report
title_short Role of MRI in X-linked adrenoleukodystrophy—A case report
title_sort role of mri in x linked adrenoleukodystrophy a case report
topic Adrenoleukodystrophy
Very long chain fatty acids
X-linked disorder
url http://www.sciencedirect.com/science/article/pii/S1930043322007130
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