A Novel Temporal Pattern of Childhood Cerebral X-linked Adrenoleukodystrophy

Brain Dev. 2018 Mar;40(3):238-241. doi: 10.1016/j.braindev.2017.10.005. Epub 2017 Nov 10.

Abstract

We report a 9-year-old boy, with childhood cerebral X-linked adrenoleukodystrophy (CCALD), presenting with an episode of loss of consciousness, fixed gaze, hypotonia and vomit with spontaneous resolution and post-ictal sleep. Behavioural impairment has been observed since the previous five months. Magnetic Resonance Images (MRI) revealed isolated bilateral, symmetric, confluent temporal white matter lesions involving also corticospinal tracts, with sparing of the parieto-occipital and frontal white matter. This report outlines an atypical neuroradiological localization of X-linked adrenoleukodystrophy and neuropsychological findings not specifically related to the brain involvement seen at the MRI.

Keywords: Neurocognitive profile; Neuroradiological findings; X-linked adrenoleukodystrophy.

Publication types

  • Case Reports

MeSH terms

  • Adrenoleukodystrophy / complications*
  • Adrenoleukodystrophy / diagnostic imaging
  • Cerebral Cortex / diagnostic imaging
  • Cerebral Cortex / pathology*
  • Child
  • Consciousness Disorders / etiology*
  • Corpus Callosum / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neurologic Examination
  • Pyramidal Tracts / diagnostic imaging
  • White Matter / diagnostic imaging