Unilaterally and rapidly progressing white matter lesion and elevated cytokines in a patient with Tay-Sachs disease.

Abstract:

:We report the case of a girl with Tay-Sachs disease who had convulsions and deteriorated rapidly after an upper respiratory infection at the age of 11 months. At the age of 16 months, her seizures became intractable and magnetic resonance imaging of the brain showed high signal intensity on T2-weighted images and marked swelling in the white matter and basal nucelei of the right hemisphere. Her seizures and right hemisphere lesion improved with glycerol and dexamethasone treatment. When dexamethasone was discontinued, her symptoms worsened and lesions later appeared in the left hemisphere. Her cerebrospinal fluid showed elevated levels of the cytokines TNF-alpha and IL-5. It is considered that inflammation contributes to disease progression in Tay-Sachs disease.

journal_name

Brain Dev

journal_title

Brain & development

authors

Hayase T,Shimizu J,Goto T,Nozaki Y,Mori M,Takahashi N,Namba E,Yamagata T,Momoi MY

doi

10.1016/j.braindev.2009.01.007

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

244-7

issue

3

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(09)00055-2

journal_volume

32

pub_type

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