Seizures as a presenting feature of late onset metachromatic leukodystrophy.

Abstract:

OBJECTIVES:We describe 2 patients with epilepsy as an early manifestation of late onset metachromatic leukodystrophy (MLD). METHODS AND RESULTS:The first patient presented with epileptic seizures at the age of 34 years while neurological and cognitive abnormalities appeared later. MRI findings were compatible with leukodystrophy and low levels of arylsulphatase-A activity confirmed MLD. The second patient developed epileptic seizures and behavioral disturbances at the age of 19 years. She remained stable and seizure free for 8 years. Afterwards she developed uncontrolled epileptic seizures and status epilepticus as well as neurological and cognitive impairment. Leukodystrophy was diagnosed by MRI findings and low levels of arylsulphatase-A activity were compatible with MLD. CONCLUSION:Our 2 cases postulate that epileptic seizures may be an early and prominent manifestation of late onset MLD.

journal_name

Acta Neurol Scand

authors

Bostantjopoulou S,Katsarou Z,Michelakaki H,Kazis A

doi

10.1034/j.1600-0404.2000.102003192.x

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

192-5

issue

3

eissn

0001-6314

issn

1600-0404

journal_volume

102

pub_type

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