South African Journal of Radiology | Vol.19, Issue.2 | 2017-05-30 | Pages
Krabbe disease – An unusual presentation of optic nerve enlargement
Krabbe disease is an autosomal recessive leukodystrophy that presents clinically with regression of milestones, excessive irritability and inconsolable crying. The pathologic basis of the disease is abnormal myelin metabolism resulting from a deficiency in the galactocerebrosidase enzyme with subsequent white matter destruction. Although optic atrophy is a classic presentation of Krabbe disease, we report on two patients who are biological brothers presenting with optic nerve enlargement in addition to other typical magnetic resonance imaging features of Krabbe disease, thereby confounding the initial diagnosis.
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Krabbe disease – An unusual presentation of optic nerve enlargement
Krabbe disease is an autosomal recessive leukodystrophy that presents clinically with regression of milestones, excessive irritability and inconsolable crying. The pathologic basis of the disease is abnormal myelin metabolism resulting from a deficiency in the galactocerebrosidase enzyme with subsequent white matter destruction. Although optic atrophy is a classic presentation of Krabbe disease, we report on two patients who are biological brothers presenting with optic nerve enlargement in addition to other typical magnetic resonance imaging features of Krabbe disease, thereby confounding the initial diagnosis.
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optic nerve enlargement myelin metabolism krabbe magnetic resonance imaging white matter milestones galactocerebrosidase enzyme irritability
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Jaishree Naidoo,Maria Kaloianova,Heather Thomson,Louisa Bhengu,.Krabbe disease – An unusual presentation of optic nerve enlargement. 19 (2),.
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