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A Syndrome of Infantile CNS Degeneration FREE

Gregory L. Holmes, MD; William J. Logan, MD
[+] Author Affiliations

Reprint requests to Departments of Pediatrics and Neurology, Newington Children's Hospital, 181 E Cedar St, Newington, CT 06111 (Dr Holmes).


Am J Dis Child. 1980;134(3):262-266. doi:10.1001/archpedi.1980.02130150020006.
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• We describe six patients from five families, who have a syndrome that, to our knowledge, has not been previously reported. The syndrome is characterized by growth failure, ophthalmoplegia, optic atrophy, choreoathetosis, areflexia, hypotonia, dysmorphic facies, and severe mental and motor retardation. Some of the children also had microcephaly and seizures. The clinical course is remarkably uniform and slowly progressive. The abnormalities first noted are delayed psychomotor development and poor weight gain, and the others all develop within the first three years of life. The syndrome seems to be hereditary. Extensive laboratory investigation has not yielded an etiology. Until pathologic material is available, the disorder remains a syndrome and the diagnosis is established by the unique combination of neurological abnormalities.

(Am J Dis Child 134:262-266, 1980)

REFERENCES

Seitelberger F:  Eine unbekannte Form von infantiler lipoidspeicher-Kkankheit des Gehirns , in Proceedings of the First International Congress of Neuropathology . Rome, Rosenberg & Sellier, 1952;, vol 3, pp 332-333.
Wigboldus JM, Bruyn GW:  Hallervorden-Spatz disease , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. Diseases of the Basal Ganglia , vol 6. Amsterdam, North-Holland Publishing Co, 1968;, pp 604-631.
Cowen D, Olmstead EV:  Infantile neuroaxonal dystrophy . J Neuropathol Exp Neurol 22:175-230, 1963;.
Crome L, Weller SDV:  Infantile neuroaxonal dystrophy . Arch Dis Child 40:502-507, 1965;.
Huttenlocher PR, Gilles FH:  Infantile neuroaxonal dystrophy . Neurology 17:1174-1184, 1967;.
Gilman S, Barrett RE:  Hallervorden-Spatz disease and infantile neuroaxonal dystrophy . J Neurol Sci 19:189-205, 1973;.
Zeman W, Demeyer W, Falls HF:  Pelizaeus-Merzbacher disease . J Neuropathol 23:334-354, 1964;.
Tyler HR:  Pelizaeus-Merzbacher disease: A clinical study . Arch Neurol Psychiatry 80:162-169, 1957;.
Hagberg B:  The clinical diagnosis of Krabbe's infantile leukodystrophy . Acta Paediatr Scand 52:213, 1963;.
D'Agostino AN, Sayre GP, Hayles AB:  Krabbe's disease . Arch Neurol 8:82-96, 1962;.
Bassen FA, Kornzweig AL:  Malformation of the erythrocytes in a case of typical retinitis pigmentosa . Blood 3:381-387, 1950;.
Drachman DA:  Ophthalmoplegia plus: A classification of the disorders associated with external ophthalmoplegia , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. System Disorders and Atrophies , vol 22, (pt 2) . Amsterdam, North-Holland Publishing Co, 1975;, pp 203-216.
Berenberg RA, Pellock JM, DiMauro J, et al:  Lumping or splitting? 'Ophthalmoplegia-Plus' or Kearns-Sayre Syndrome? Ann Neurol 1:37-54, 1977;.
Rowland LP:  Progressive external ophthalmoplegia , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. System Disorders and Atrophies , vol 22, (pt 2) . Amsterdam, North-Holland Publishing Co, 1975;, pp 177-202.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

Seitelberger F:  Eine unbekannte Form von infantiler lipoidspeicher-Kkankheit des Gehirns , in Proceedings of the First International Congress of Neuropathology . Rome, Rosenberg & Sellier, 1952;, vol 3, pp 332-333.
Wigboldus JM, Bruyn GW:  Hallervorden-Spatz disease , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. Diseases of the Basal Ganglia , vol 6. Amsterdam, North-Holland Publishing Co, 1968;, pp 604-631.
Cowen D, Olmstead EV:  Infantile neuroaxonal dystrophy . J Neuropathol Exp Neurol 22:175-230, 1963;.
Crome L, Weller SDV:  Infantile neuroaxonal dystrophy . Arch Dis Child 40:502-507, 1965;.
Huttenlocher PR, Gilles FH:  Infantile neuroaxonal dystrophy . Neurology 17:1174-1184, 1967;.
Gilman S, Barrett RE:  Hallervorden-Spatz disease and infantile neuroaxonal dystrophy . J Neurol Sci 19:189-205, 1973;.
Zeman W, Demeyer W, Falls HF:  Pelizaeus-Merzbacher disease . J Neuropathol 23:334-354, 1964;.
Tyler HR:  Pelizaeus-Merzbacher disease: A clinical study . Arch Neurol Psychiatry 80:162-169, 1957;.
Hagberg B:  The clinical diagnosis of Krabbe's infantile leukodystrophy . Acta Paediatr Scand 52:213, 1963;.
D'Agostino AN, Sayre GP, Hayles AB:  Krabbe's disease . Arch Neurol 8:82-96, 1962;.
Bassen FA, Kornzweig AL:  Malformation of the erythrocytes in a case of typical retinitis pigmentosa . Blood 3:381-387, 1950;.
Drachman DA:  Ophthalmoplegia plus: A classification of the disorders associated with external ophthalmoplegia , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. System Disorders and Atrophies , vol 22, (pt 2) . Amsterdam, North-Holland Publishing Co, 1975;, pp 203-216.
Berenberg RA, Pellock JM, DiMauro J, et al:  Lumping or splitting? 'Ophthalmoplegia-Plus' or Kearns-Sayre Syndrome? Ann Neurol 1:37-54, 1977;.
Rowland LP:  Progressive external ophthalmoplegia , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. System Disorders and Atrophies , vol 22, (pt 2) . Amsterdam, North-Holland Publishing Co, 1975;, pp 177-202.

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