White matter changes on magnetic resonance imaging in a patient with neurodegenerative disease

A 14-year-old Sri Lankan male had progressive dysarthria, dysmetria, gait ataxia, tremor, bradykinesia for 6 years with cognitive decline ensuing 1 year prior to admission. His sister was suffering from a similar illness. His parents were non-consanguineous. On examination, the patient had a Glasgow...

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Published inAnnals of the Indian Academy of Neurology Vol. 16; no. 4; pp. 670 - 671
Main Authors Caldera, Manjula C, Gooneratne, Inuka Kishara, Gamage, Ranjanie, Perera, Sujith Priyankara
Format Journal Article
LanguageEnglish
Published 01.12.2013
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Summary:A 14-year-old Sri Lankan male had progressive dysarthria, dysmetria, gait ataxia, tremor, bradykinesia for 6 years with cognitive decline ensuing 1 year prior to admission. His sister was suffering from a similar illness. His parents were non-consanguineous. On examination, the patient had a Glasgow coma score of 8. He had quadrihyperreflexia with extensor plantar response. Cerebellar assessment was difficult. Cogwheel rigidity was noted. There was no flapping tremor. Hepatosplenomegaly was elicited on abdominal examination. Kayser-Fleischer (KF) rings were confirmed by slit lamp examination.
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ISSN:0972-2327
1998-3549
DOI:10.4103/09722327.120481