PMID- 6789439 OWN - NLM STAT- MEDLINE DCOM- 19810915 LR - 20111117 IS - 0035-6433 (Print) IS - 0035-6433 (Linking) VI - 101 IP - 4 DP - 1981 Jul-Aug TI - Late infantile neuroaxonal dystrophy. An unusual case with predominantly myoclonic-epileptic symptomatology. PG - 171-84 AB - A case of infantile neuroaxonal dystrophy (I.N.A.D.) with late onset is described with protracted course and predominant myoclonic-epileptic symptomatology. A girl of 13 years died in myoclonic-epileptic state. She had suffered from a mild cerebellar deficit, slight intellectual impairment and increasing myoclonic attacks since the age of 5 years. A similar neurological syndrome, beginning at almost the same age, occurred in her younger brother who died at the age of 11 years from acute hepatic failure (without autopsy). Histological examination of the CNS in the girl revealed a diffuse neuroaxonal dystrophy, some areas of spongy degeneration in the cerebral and cerebellar white matter, cortical atrophy of cerebellum accompanied by demyelination of the spinocerebellar tracts, the fasciculus gracilis and the cortico-bulbar tracts. Such histological features are in keeping with those of I.N.A.D. or Seitelberger's disease. The clinical features, however, differ considerably from the latter as well as from Hallervorden-Spatz's disease and seem to belong, instead, to the group of progressive myoclonus epilepsies. In the differential diagnosis of these rare conditions, therefore, also the I.N.A.D. ought to be considered. FAU - Barontini, F AU - Barontini F FAU - Papini, M AU - Papini M LA - eng PT - Journal Article PT - Review PL - Italy TA - Riv Patol Nerv Ment JT - Rivista di patologia nervosa e mentale JID - 0431335 SB - IM MH - Adolescent MH - *Axons MH - Brain Diseases/complications/*genetics MH - Cerebellar Ataxia/etiology MH - Child MH - Child, Preschool MH - Epilepsies, Myoclonic/*etiology MH - Female MH - Humans MH - Intellectual Disability/etiology MH - Male MH - Muscular Diseases/etiology RF - 38 EDAT- 1981/07/01 00:00 MHDA- 1981/07/01 00:01 CRDT- 1981/07/01 00:00 PHST- 1981/07/01 00:00 [pubmed] PHST- 1981/07/01 00:01 [medline] PHST- 1981/07/01 00:00 [entrez] PST - ppublish SO - Riv Patol Nerv Ment. 1981 Jul-Aug;101(4):171-84.