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19 Cards in this Set
- Front
- Back
13 y.o. with ataxia, weakness, abnormal lipid profile
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- abetalipoproteinemia
- mutation of MTP => decreased chylomicrons, VLDL, LDL => decreased vit E => neuropathy |
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newborn with cystic swelling at base of spine?
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- meningocele
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fusion of atlas to midbraine
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- often associated with chiari malformation
- increased risk brainstem compression, hydrocephalus |
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PKU
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- increased phenylalanine
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kid dvlps ataxia, MR, white matter abnormalities on MRI
- decreased arylsulfatase A activity |
- metachromatic leukodystrophy
- dx by sulfatide in schwann cells |
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aicardi syndrome
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- agenesis of corpus callosum associated with MR< epilepsy, vertebral anomalies, chorioretinitis
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Hartnup disease
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- intestinal malabsorption of tryptophan
- scaly erythematous rash on face, episodic ataxia |
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CT shows calcification in cerebral cortex in railroad trach pattern
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- sturge-weber syndrome 2/2 defective blood brain barrier
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pt with increased RBC, ataxia, HSM, proteinuria, hematuria
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- VHL disease, also see retinal angiomas
- PCKD, PCLD, dvlp hemangioblastomas |
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abetalipoproteinemia
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- posterior column and spinocerebellar tract
- ataxia, peripheral neuropathy, blood smear shows acanthocytosis - sx similar to freidrech's ataxia wout dementia |
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tuberous sclerosis inheritance
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- AD but variable penetrance, also high spontaneous mutations
- adenoma sebaceum - retinal phakomas= gliomatous tumors = important for dx - subependmal glial nodules => can cause obstructive hydrocephalus |
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type 2 chiari malformation associated with what defect?
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- spinal bifida
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cafe au lait spots vs ash leaf
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- NF1
- tuberous sclerosis |
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Dandy Walker malformation
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- cyst in posterior fossa, incomplete fusion of cerebellar element inferiorly
- can cause obstructive hydrocephalus |
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tx of seizures in tuberous sclerosis?
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- ACTH
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lennox-gastaut syndrome
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- tuberous sclerosis with persistant seizures and severe MR
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spinal muscular atrophies
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- anterior horn cell disease
- Werding-Hoffman: weakness, muscle atrophy, hypotonia - death after birth - Kugelberg-Welander: same but less lethal |
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large cyst in brain
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- vascular injury in utero = porencephaly
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EtOH + pregnancy
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- growht retardation, dysmorphic facies, impaired neuronal migration => collection of neurons in odd areas, cortical disrupation, malformation
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