Diagnosis of Alexander’s disease
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27 Male15 | | Bulbar palsy, tongue fasciculations, ataxia, spasticity | | – |
32 Male2 | TB, intestinal obstruction, renal tract infection [anti-TB drugs] | Bulbar palsy, ataxia, spasticity | | Diffuse RF, cavitating brain lesions |
37 Male23 | | Epilepsy, dementia, ataxia, spasticity | | Diffuse RF |
39 Male5 | | Ataxia, aphasia, cranial polyneuropathy, spasticity | | Diffuse RF, demyelination |
61 Male4 | | Spasticity, ataxia, nystagmus | | Diffuse RF and demyelination |
23 Female4 | Hepatic and renal failure, alcoholic, depression [alcohol/psychotropic drugs] | | + | Diffuse RF and demyelination in dentate nucleus |
25 Female15 | | Palatal myoclonus, tongue fasciculation, spasticity | | *Brain stem and periventricular RF, myelin pallor |
26 Female24 | | Ataxia, spasticity, visual deficit, dysphagia | | *Cerebellar RF |
29 Female15 | | Ataxia, dysphonia, spastic monoparesis | | – |
37 Female4 | Asthma | Spasticity, ataxia, nystagmus | | RF and demyelination |
39 Female3 | Perinatal hypoxia | Childhood seizures, ataxia, dementia, spasticity, pseudobulbar palsy | | Diffuse RF, demyelination, calcified basal ganglia |
43 Female16 | | Bulbar palsy, palatal myoclonus, ataxia, urinary incontinence | | – |
43 Female25 | [alcohol/psychotropic drugs] | | + | Diffuse RF, demyelination |
48 Female16 | | Diplopia, palatal myoclonus, spastic quadriparesis, ataxia, urinary and faecal incontinence | | Diffuse RF, myelin pallor, astrogliosis |
49 Female16 | | Bulbar palsy, palatal myoclonus | | – |
Diagnosis of Rosenthal fibre encephalopathy
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19 Male26 | Metastatic testicular carcinoma, intestinal obstruction, septicaemia, low Mg2+/PO4− [i.v. feeding] | Seizures | | Predominantly brain stem RF and central pontine myelinolysis |
22 Male12 | Schizophrenic, septicaemia, ARDS [solvent abuse, antipsychotics analgesics, procyclidine] | Cognitive impairment, seizures, peripheral neuropathy | | Brain stem RF, demyelination, basal ganglia calcification |
32 Male (current case) | AIDS, lymphoma, CMV [anti-retroviral/toxo.] | | + | Brain stem RF, CMV infection, lymphoma |
66 Male27 | Stokes-Adams attacks, DM | Dementia, seizures, pseudobulbar palsy, spasticity | | Brain stem and cerebellar RF, multiple infarcts |
70 Male11 | COAD, cor pulmonale, AF, DM, PUD, myelofibrosis | | + | Predominantly brain stem RF |
19 Female27 | Reticulum cell sarcoma [chemotherapy, steroids] | | + | Brain stem and upper cervical cord RF, metastatic reticulum cell sarcoma |
54 Female27 | Metastatic melanoma [chemotherapy] | Dementia, ataxia | | Brain stem RF, melanoma |
65 Female11 | Ovarian carcinoma, DVT, ARF [chemotherapy] | | + | Predominantly brain stem RF |
§78 Female17 | Rheumatic fever, hypertension, OA, cataracts | TIA, parkinsonism, dementia | | Cerebral infarction, brain stem RF |
82 Female27 | Hypertension, CAD, gallstones, renal failure, GI bleed | | + | Diffuse(?) RF, pontine infarction |
85 Female28 | DM, CAD, hypertension, hypoglycaemia | | + | Brain stem RF, early Alzheimer’s disease, Lewy bodies in locus coeruleus and raphe nuclei |