A Young Woman with Leukoencephalopathy and Significant Corpus Callosum Atrophy

Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) is a rare autosomal-dominant progressive leukodystrophy, caused by mutations of colony stimulating factor-1 receptor (CSF1R) gene. Age of onset is usually between 40 and 50 years old and the clinical presentations includ...

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Main Authors: SHA Yuhui, ZHANG Junyi, NI Jun
Format: Article
Language:zho
Published: Editorial Office of Journal of Rare Diseases 2022-04-01
Series:罕见病研究
Subjects:
Online Access:https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2022.02.014
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author SHA Yuhui
ZHANG Junyi
NI Jun
author_facet SHA Yuhui
ZHANG Junyi
NI Jun
author_sort SHA Yuhui
collection DOAJ
description Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) is a rare autosomal-dominant progressive leukodystrophy, caused by mutations of colony stimulating factor-1 receptor (CSF1R) gene. Age of onset is usually between 40 and 50 years old and the clinical presentations include dementia, apraxia, behavioral changes, pyramidal and extrapyramidal signs. Varying clinical manifestations have led to misdiagnoses. Magnetic resonance imaging (MRI) typically reveals white matter changes with T2-Flair/DWI hyperintensity and atrophy especially for thinning of the corpus callosum. Here, we report a young woman experiencing hypomnesia for 2 years with lower extremities weakness and rigidity for 1 month. Considering the evidence of clinical manifestations, imaging and genetic test, this patient was diagnosed with ALSP.
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spelling doaj.art-de473fb288ff481ca6c99755445de3a92024-01-02T07:14:32ZzhoEditorial Office of Journal of Rare Diseases罕见病研究2097-05012022-04-011219619810.12376/j.issn.2097-0501.2022.02.014A Young Woman with Leukoencephalopathy and Significant Corpus Callosum AtrophySHA Yuhui0ZHANG Junyi1NI JunDepartment of Neurology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaDepartment of Neurology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaAdult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) is a rare autosomal-dominant progressive leukodystrophy, caused by mutations of colony stimulating factor-1 receptor (CSF1R) gene. Age of onset is usually between 40 and 50 years old and the clinical presentations include dementia, apraxia, behavioral changes, pyramidal and extrapyramidal signs. Varying clinical manifestations have led to misdiagnoses. Magnetic resonance imaging (MRI) typically reveals white matter changes with T2-Flair/DWI hyperintensity and atrophy especially for thinning of the corpus callosum. Here, we report a young woman experiencing hypomnesia for 2 years with lower extremities weakness and rigidity for 1 month. Considering the evidence of clinical manifestations, imaging and genetic test, this patient was diagnosed with ALSP.https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2022.02.014adult-onset leukoencephalopathy with axonal spheroids and pigmented gliamagnetic resonance imaginggene mutationcolony stimulating factor-1 receptor
spellingShingle SHA Yuhui
ZHANG Junyi
NI Jun
A Young Woman with Leukoencephalopathy and Significant Corpus Callosum Atrophy
罕见病研究
adult-onset leukoencephalopathy with axonal spheroids and pigmented glia
magnetic resonance imaging
gene mutation
colony stimulating factor-1 receptor
title A Young Woman with Leukoencephalopathy and Significant Corpus Callosum Atrophy
title_full A Young Woman with Leukoencephalopathy and Significant Corpus Callosum Atrophy
title_fullStr A Young Woman with Leukoencephalopathy and Significant Corpus Callosum Atrophy
title_full_unstemmed A Young Woman with Leukoencephalopathy and Significant Corpus Callosum Atrophy
title_short A Young Woman with Leukoencephalopathy and Significant Corpus Callosum Atrophy
title_sort young woman with leukoencephalopathy and significant corpus callosum atrophy
topic adult-onset leukoencephalopathy with axonal spheroids and pigmented glia
magnetic resonance imaging
gene mutation
colony stimulating factor-1 receptor
url https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2022.02.014
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