RT Journal Article SR Electronic T1 Late-onset Boucher–Neuhäuser Syndrome (late BNS) associated with white-matter changes: a report of two cases and review of literature JF Journal of Neurology, Neurosurgery & Psychiatry JO J Neurol Neurosurg Psychiatry FD BMJ Publishing Group Ltd SP 888 OP 891 DO 10.1136/jnnp.2009.196790 VO 82 IS 8 A1 Mahesh Pundlik Kate A1 Chandrasekharan Kesavadas A1 Muralidharan Nair A1 Syam Krishnan A1 Manoj Soman A1 Atampreet Singh YR 2011 UL http://jnnp.bmj.com/content/82/8/888.abstract AB Boucher–Neuhäuser syndrome (BNS) is rare autosomal recessive disease, characterised by cerebellar ataxia, hypogonadotropic hypogonadism and chorio-retinal degeneration. The authors report a family (brother, 22 years and sister 24 years) with late-onset BNS (>10 years). They had subnormal intelligence; the cerebellar ataxia was progressive over 2 years with early functional dependence. Puberty was attained in a brother with testosterone injections, while the girl had primary amenorrhoea. There were no associated visual complaints. They both had diffuse periventricular white-matter hyperintensities in cerebral cortex and diffuse cerebellar atrophy in the MRI.