Abstract：
AIM:Late infantile neuronal ceroid lipofuscinosis type 2 (CLN2) disease is a rare neurodegenerative disorder presenting in children aged 2-4 years with seizures and loss of motor and language skills, followed by blindness and death in late childhood. Initial presenting features are similar to a range of common epilepsies. We aim to highlight typical clinical and radiological features that may prompt diagnosis of CLN2 disease in early disease stages. METHODS:We present a series of 13 Australian patients with CLN2 disease, describing clinical features, disease evolution, neuroimaging, electroencephalogram, biochemical and genetic results. Expert neuroradiological magnetic resonance imaging (MRI) analysis was retrospectively performed on 10 cases. RESULTS:Twelve patients presented with seizures, with initial seizures being focal (n = 4), generalised tonic-clonic (n = 3), absence (n = 3) and febrile (n = 2). Eleven patients (85%) had a language delay before the onset of seizures. Cerebellar or cerebral atrophy was noted in all patients on centralised MRI review, with abnormalities of the brain-stem, ventricles, corpus callosum and hippocampi. CONCLUSIONS:Early language delay with the onset of seizures at 2-4 years of age is the hallmark of CLN2 disease. MRI findings of early subtle atrophy in the cerebellum or posterior cortical regions should hasten testing for CLN2 disease to enable early initiation of enzyme replacement therapy.
journal_name
J Paediatr Child Healthjournal_title
Journal of paediatrics and child healthauthors
Johnson AM,Mandelstam S,Andrews I,Boysen K,Yaplito-Lee J,Fietz M,Nagarajan L,Rodriguez-Casero V,Ryan MM,Smith N,Scheffer IE,Ellaway Cdoi
10.1111/jpc.14890subject
Has Abstractpub_date
2020-08-01 00:00:00pages
1210-1218issue
8eissn
1034-4810issn
1440-1754journal_volume
56pub_type
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journal_title：Journal of paediatrics and child health
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.1993.tb00462.x
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journal_title：Journal of paediatrics and child health
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journal_title：Journal of paediatrics and child health
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.2003.00236.x
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doi：10.1111/j.1440-1754.2007.01248.x
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journal_title：Journal of paediatrics and child health
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pub_type： 杂志文章,评审
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.2004.00461.x
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