[Clinical and neuropathological study of two brothers with Cockayne syndrome].

Abstract:

INTRODUCTION:Cockayne syndrome (CS) is a rare autosomal recessive disease which is characterized by physical and mental retardation, progressive neurological disfunction, photosensitivity and other cutaneous features. Usually they present ophthalmologic abnormalities as well as other heterogenous clinical, radiological and pathologic features as leucodistrophy and calcifications in central nervous system and segmental demyelination in peripheral nervous system. CLINICAL CASES:Two brothers, sons of healthy unrelated parents, are presented. The first patient was referred at 8 months of age because of psychomotor retardation and the second one at 5 months old because of a cataract. At the age of 2 years both presented a complex clinical picture with photosensitivity, growth and mental retardation, peripheral neuropathy, neurosensorial deafness, and cerebral atrophy and calcifications in neuroimaging diagnosis tests. In the following years the older brother presented signs of renal failure, cataracts and retinopathy, and died at 9 years old because of a respiratory infection. The neuropathologic study showed a discrete neuronal loss and diffuse demyelination with calcium deposits in cerebral white matter and basal ganglia. Today the second patient is 8 years old and shows a clinical course similar to that of his brother. CONCLUSIONS:Clinical, radiologic and pathologic features in our patients support the diagnosis of CS type II.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Olaciregui O,Yoldi ME,Gurtubay IG,García-Bragado F,Carrera B,Gila L,Morales G

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

628-31

issue

7

eissn

0210-0010

issn

1576-6578

journal_volume

33

pub_type

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