Transient Visual Symptoms as the Initial Manifestation of Childhood Adrenoleukodystrophy - 08/09/11
Doi : 10.1016/S0887-8994(98)00015-0
Lionel Carmant A, ⁎, Jean-Claude Décarie B, Edward Fon C, Michael I Shevell C
A Division of Neurology, Hôpital Ste-Justine; Université de Montréal, Montréal, Quebec, Canada
B Department of Radiology; Hôpital Ste-Justine; Université de Montréal, Montréal, Quebec, Canada;
C Division of Neurology; Montreal Children’s Hospital; McGill University; Montréal, Quebec, Canada.
*Dr. Carmant; Department of Pediatrics; Neurology Division; Hôpital Ste-Justine; 3175 Côte Ste-Catherine; Montréal, QC H3T 1C5, Canada.
Abstract |
We report two patients with transient visual symptoms after an acute illness (hypoglycemia and head trauma) who went on to develop a progressive neurodegenerative disease (adrenoleukodystrophy). This report supports the suggestion that environmental factors play a role in the initial expression of the disease and reviews atypical visual manifestations of adrenoleukodystrophy. Proper diagnosis and institution of early treatment before the catastrophic deterioration typical of its natural history requires a high degree of suspicion.
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© 1998
Elsevier Science Inc. Tous droits réservés.
Vol 19 - N° 1
P. 62-64 - juillet 1998 Retour au numéro
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