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19 Cards in this Set

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