Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome)
Since she was 4years old, the patient had exhibited frequent convulsive seizures, and she experienced severe headaches and depression in adulthood. At the age of 37years, cerebral calcifications were detected, but she exhibited no cognitive or motor problems. She suffered a cerebral haemorrhage at 4...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2017-09-01
|
Series: | eNeurologicalSci |
Online Access: | http://www.sciencedirect.com/science/article/pii/S240565021730028X |
id |
doaj-9aecf044df8a4efd827ad34353e7aa8e |
---|---|
record_format |
Article |
spelling |
doaj-9aecf044df8a4efd827ad34353e7aa8e2020-11-25T01:07:19ZengElseviereNeurologicalSci2405-65022017-09-0182830Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome)Yasushi Iwasaki0Ken-ichiro Hoshino1Keiko Mori2Masumi Ito3Yoshinari Kawai4Maya Mimuro5Tamao Tsukie6Takeshi Ikeuchi7Mari Yoshida8Department of Neuropathology, Institute for Medical Science of Aging, Aichi Medical University, 1-1 Yazakokarimata, Nagakute 480-1195, Japan; Corresponding author.Department of Gastroenterology, Oyamada Memorial Spa Hospital, 5538-1 Yamada-cho, Yokkaichi 512-1111, JapanDepartment of Neurology, Oyamada Memorial Spa Hospital, Yokkaichi, JapanDepartment of Neurology, Oyamada Memorial Spa Hospital, Yokkaichi, JapanDepartment of Neurology, Oyamada Memorial Spa Hospital, Yokkaichi, JapanDepartment of Neuropathology, Institute for Medical Science of Aging, Aichi Medical University, 1-1 Yazakokarimata, Nagakute 480-1195, JapanDepartment of Molecular Genetics, Brain Research Institute, Niigata University, 1-757 Asahimachidori, Chuo-ku Niigata 951-8585, JapanDepartment of Molecular Genetics, Brain Research Institute, Niigata University, 1-757 Asahimachidori, Chuo-ku Niigata 951-8585, JapanDepartment of Neuropathology, Institute for Medical Science of Aging, Aichi Medical University, 1-1 Yazakokarimata, Nagakute 480-1195, JapanSince she was 4years old, the patient had exhibited frequent convulsive seizures, and she experienced severe headaches and depression in adulthood. At the age of 37years, cerebral calcifications were detected, but she exhibited no cognitive or motor problems. She suffered a cerebral haemorrhage at 49years old and experienced cognitive dysfunction, dysarthria, dysphagia, and left-hemiparesis as sequelae. After undergoing gastrostomy, she exhibited very slow cognitive deterioration associated with speech disturbance over more than 10years. She also gradually developed limb spasticity with Babinski signs. Repeated computerised tomography scans revealed unexpected changes including 2 cysts that appeared separately after small haemorrhages, an intracerebral haemorrhage, and intra-cyst bleeding. These longitudinal scans also showed progressive ventricular dilatation and expansion of the leukoencephalopathy, but there were no apparent changes in the intracranial calcifications. Magnetic resonance imaging revealed numerous microbleeds, and magnetic resonance angiography revealed irregularity of the cerebral artery walls with stoppage. Her SNORD118 gene exhibited compound heteromutation of c.38C>G and c.116G>C on different alleles. She was finally diagnosed with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) at the age of 61years. Past reports have suggested that diffuse cerebral microangiopathy underlies Labrune syndrome's pathogenesis, but we speculate that cerebral macroangiopathy may also underlie it. Keywords: SNORD118, Leukoencephalopathy, Calcification, Cyst, Labrune syndromehttp://www.sciencedirect.com/science/article/pii/S240565021730028X |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yasushi Iwasaki Ken-ichiro Hoshino Keiko Mori Masumi Ito Yoshinari Kawai Maya Mimuro Tamao Tsukie Takeshi Ikeuchi Mari Yoshida |
spellingShingle |
Yasushi Iwasaki Ken-ichiro Hoshino Keiko Mori Masumi Ito Yoshinari Kawai Maya Mimuro Tamao Tsukie Takeshi Ikeuchi Mari Yoshida Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) eNeurologicalSci |
author_facet |
Yasushi Iwasaki Ken-ichiro Hoshino Keiko Mori Masumi Ito Yoshinari Kawai Maya Mimuro Tamao Tsukie Takeshi Ikeuchi Mari Yoshida |
author_sort |
Yasushi Iwasaki |
title |
Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) |
title_short |
Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) |
title_full |
Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) |
title_fullStr |
Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) |
title_full_unstemmed |
Longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) |
title_sort |
longitudinal clinical and neuro-radiological findings in a patient with leukoencephalopathy with brain calcifications and cysts (labrune syndrome) |
publisher |
Elsevier |
series |
eNeurologicalSci |
issn |
2405-6502 |
publishDate |
2017-09-01 |
description |
Since she was 4years old, the patient had exhibited frequent convulsive seizures, and she experienced severe headaches and depression in adulthood. At the age of 37years, cerebral calcifications were detected, but she exhibited no cognitive or motor problems. She suffered a cerebral haemorrhage at 49years old and experienced cognitive dysfunction, dysarthria, dysphagia, and left-hemiparesis as sequelae. After undergoing gastrostomy, she exhibited very slow cognitive deterioration associated with speech disturbance over more than 10years. She also gradually developed limb spasticity with Babinski signs. Repeated computerised tomography scans revealed unexpected changes including 2 cysts that appeared separately after small haemorrhages, an intracerebral haemorrhage, and intra-cyst bleeding. These longitudinal scans also showed progressive ventricular dilatation and expansion of the leukoencephalopathy, but there were no apparent changes in the intracranial calcifications. Magnetic resonance imaging revealed numerous microbleeds, and magnetic resonance angiography revealed irregularity of the cerebral artery walls with stoppage. Her SNORD118 gene exhibited compound heteromutation of c.38C>G and c.116G>C on different alleles. She was finally diagnosed with leukoencephalopathy with brain calcifications and cysts (Labrune syndrome) at the age of 61years. Past reports have suggested that diffuse cerebral microangiopathy underlies Labrune syndrome's pathogenesis, but we speculate that cerebral macroangiopathy may also underlie it. Keywords: SNORD118, Leukoencephalopathy, Calcification, Cyst, Labrune syndrome |
url |
http://www.sciencedirect.com/science/article/pii/S240565021730028X |
work_keys_str_mv |
AT yasushiiwasaki longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT kenichirohoshino longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT keikomori longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT masumiito longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT yoshinarikawai longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT mayamimuro longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT tamaotsukie longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT takeshiikeuchi longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome AT mariyoshida longitudinalclinicalandneuroradiologicalfindingsinapatientwithleukoencephalopathywithbraincalcificationsandcystslabrunesyndrome |
_version_ |
1725187769135792128 |