Loading…

A Rare Case of Hypomyelinating Leukodystrophy and Its Management: A Case Report and Literature Review

A subset of hereditary white matter disorders called hypomyelinating leukodystrophies (HLD) is characterized primarily by the absence of myelin deposition. Although the clinical presentation can be mild and the development of symptoms can occur in adolescence or adulthood, the majority of severe cas...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-03, Vol.15 (3), p.e36471
Main Authors: Singh, Sonali, Mishra, Anshika, Murthy, Chinmayee, Inban, Pugazhendi, Abdefatah Ali, Munira, Yadav, Anupam S, Intsiful, Tarsha A, O Omar, Zainab T, Lakhra, Sakshi, Khan, Dr Aadil
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c1821-5373dc88b82476c68ca34d3f1d14d01144a755288a169e60fead0874cd3e354d3
container_end_page
container_issue 3
container_start_page e36471
container_title Curēus (Palo Alto, CA)
container_volume 15
creator Singh, Sonali
Mishra, Anshika
Murthy, Chinmayee
Inban, Pugazhendi
Abdefatah Ali, Munira
Yadav, Anupam S
Intsiful, Tarsha A
O Omar, Zainab T
Lakhra, Sakshi
Khan, Dr Aadil
description A subset of hereditary white matter disorders called hypomyelinating leukodystrophies (HLD) is characterized primarily by the absence of myelin deposition. Although the clinical presentation can be mild and the development of symptoms can occur in adolescence or adulthood, the majority of severe cases present during infancy and early childhood with significant neurological impairments. The clinical features vary from muscle stiffness to seizures and developmental delay. The detailed myelination process can be seen with magnetic resonance imaging (MRI), and many patients are diagnosed using MRI pattern recognition and next-generation sequencing (NGS) in most cases. Here, we report a case of an infant suffering from the hypomyelinating leukodystrophy-13 (HLD-13) variant, whose next-generation sequencing revealed a pathogenic homozygous variant.
doi_str_mv 10.7759/cureus.36471
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10117409</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2807829966</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1821-5373dc88b82476c68ca34d3f1d14d01144a755288a169e60fead0874cd3e354d3</originalsourceid><addsrcrecordid>eNpVkc1LAzEQxYMotlRvniXg1dVkk02yXqQUPwoVQfQc4ma2bm03a7Jb2f_e2KrU0wwzv3nz4CF0QsmFlFl-WXQeunDBBJd0Dw1TKlSiqOL7O_0AHYewIIRQIlMiySEaMElywkQ6RDDGT8YDnpgA2JX4vm_cqodlVZu2qud4Bt27s31ovWveemxqi6dtwA-mNnNYQd1e4fH2-Aka59sNMata8KaN3uJ0XcHnEToozTLA8U8doZfbm-fJfTJ7vJtOxrOkoCqlScYks4VSryrlUhRCFYZxy0pqKbeEUs6NzLJUKUNFDoKUYCxRkheWAcsiOULXW92me12BLaI_b5a68dXK-F47U-n_m7p603O31jSqS07yqHD2o-DdRweh1QvX-Tqa1qkiUqV5LkSkzrdU4V0IHsq_F5To72D0Nhi9CSbip7u2_uDfGNgXSwmKXQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2807829966</pqid></control><display><type>article</type><title>A Rare Case of Hypomyelinating Leukodystrophy and Its Management: A Case Report and Literature Review</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Singh, Sonali ; Mishra, Anshika ; Murthy, Chinmayee ; Inban, Pugazhendi ; Abdefatah Ali, Munira ; Yadav, Anupam S ; Intsiful, Tarsha A ; O Omar, Zainab T ; Lakhra, Sakshi ; Khan, Dr Aadil</creator><creatorcontrib>Singh, Sonali ; Mishra, Anshika ; Murthy, Chinmayee ; Inban, Pugazhendi ; Abdefatah Ali, Munira ; Yadav, Anupam S ; Intsiful, Tarsha A ; O Omar, Zainab T ; Lakhra, Sakshi ; Khan, Dr Aadil</creatorcontrib><description>A subset of hereditary white matter disorders called hypomyelinating leukodystrophies (HLD) is characterized primarily by the absence of myelin deposition. Although the clinical presentation can be mild and the development of symptoms can occur in adolescence or adulthood, the majority of severe cases present during infancy and early childhood with significant neurological impairments. The clinical features vary from muscle stiffness to seizures and developmental delay. The detailed myelination process can be seen with magnetic resonance imaging (MRI), and many patients are diagnosed using MRI pattern recognition and next-generation sequencing (NGS) in most cases. Here, we report a case of an infant suffering from the hypomyelinating leukodystrophy-13 (HLD-13) variant, whose next-generation sequencing revealed a pathogenic homozygous variant.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.36471</identifier><identifier>PMID: 37090362</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Age ; Atrophy ; Case reports ; Disease ; Intensive care ; Internal Medicine ; Magnetic resonance imaging ; Mass spectrometry ; Medical research ; Medicine ; Metabolism ; Neurology ; Pediatrics ; RNA polymerase ; Scientific imaging ; Spasticity ; Teenagers</subject><ispartof>Curēus (Palo Alto, CA), 2023-03, Vol.15 (3), p.e36471</ispartof><rights>Copyright © 2023, Singh et al.</rights><rights>Copyright © 2023, Singh et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Singh et al. 2023 Singh et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1821-5373dc88b82476c68ca34d3f1d14d01144a755288a169e60fead0874cd3e354d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2807829966/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2807829966?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,25734,27905,27906,36993,44571,53772,53774,74875</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37090362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Singh, Sonali</creatorcontrib><creatorcontrib>Mishra, Anshika</creatorcontrib><creatorcontrib>Murthy, Chinmayee</creatorcontrib><creatorcontrib>Inban, Pugazhendi</creatorcontrib><creatorcontrib>Abdefatah Ali, Munira</creatorcontrib><creatorcontrib>Yadav, Anupam S</creatorcontrib><creatorcontrib>Intsiful, Tarsha A</creatorcontrib><creatorcontrib>O Omar, Zainab T</creatorcontrib><creatorcontrib>Lakhra, Sakshi</creatorcontrib><creatorcontrib>Khan, Dr Aadil</creatorcontrib><title>A Rare Case of Hypomyelinating Leukodystrophy and Its Management: A Case Report and Literature Review</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>A subset of hereditary white matter disorders called hypomyelinating leukodystrophies (HLD) is characterized primarily by the absence of myelin deposition. Although the clinical presentation can be mild and the development of symptoms can occur in adolescence or adulthood, the majority of severe cases present during infancy and early childhood with significant neurological impairments. The clinical features vary from muscle stiffness to seizures and developmental delay. The detailed myelination process can be seen with magnetic resonance imaging (MRI), and many patients are diagnosed using MRI pattern recognition and next-generation sequencing (NGS) in most cases. Here, we report a case of an infant suffering from the hypomyelinating leukodystrophy-13 (HLD-13) variant, whose next-generation sequencing revealed a pathogenic homozygous variant.</description><subject>Age</subject><subject>Atrophy</subject><subject>Case reports</subject><subject>Disease</subject><subject>Intensive care</subject><subject>Internal Medicine</subject><subject>Magnetic resonance imaging</subject><subject>Mass spectrometry</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Metabolism</subject><subject>Neurology</subject><subject>Pediatrics</subject><subject>RNA polymerase</subject><subject>Scientific imaging</subject><subject>Spasticity</subject><subject>Teenagers</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpVkc1LAzEQxYMotlRvniXg1dVkk02yXqQUPwoVQfQc4ma2bm03a7Jb2f_e2KrU0wwzv3nz4CF0QsmFlFl-WXQeunDBBJd0Dw1TKlSiqOL7O_0AHYewIIRQIlMiySEaMElywkQ6RDDGT8YDnpgA2JX4vm_cqodlVZu2qud4Bt27s31ovWveemxqi6dtwA-mNnNYQd1e4fH2-Aka59sNMata8KaN3uJ0XcHnEToozTLA8U8doZfbm-fJfTJ7vJtOxrOkoCqlScYks4VSryrlUhRCFYZxy0pqKbeEUs6NzLJUKUNFDoKUYCxRkheWAcsiOULXW92me12BLaI_b5a68dXK-F47U-n_m7p603O31jSqS07yqHD2o-DdRweh1QvX-Tqa1qkiUqV5LkSkzrdU4V0IHsq_F5To72D0Nhi9CSbip7u2_uDfGNgXSwmKXQ</recordid><startdate>20230321</startdate><enddate>20230321</enddate><creator>Singh, Sonali</creator><creator>Mishra, Anshika</creator><creator>Murthy, Chinmayee</creator><creator>Inban, Pugazhendi</creator><creator>Abdefatah Ali, Munira</creator><creator>Yadav, Anupam S</creator><creator>Intsiful, Tarsha A</creator><creator>O Omar, Zainab T</creator><creator>Lakhra, Sakshi</creator><creator>Khan, Dr Aadil</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230321</creationdate><title>A Rare Case of Hypomyelinating Leukodystrophy and Its Management: A Case Report and Literature Review</title><author>Singh, Sonali ; Mishra, Anshika ; Murthy, Chinmayee ; Inban, Pugazhendi ; Abdefatah Ali, Munira ; Yadav, Anupam S ; Intsiful, Tarsha A ; O Omar, Zainab T ; Lakhra, Sakshi ; Khan, Dr Aadil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1821-5373dc88b82476c68ca34d3f1d14d01144a755288a169e60fead0874cd3e354d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age</topic><topic>Atrophy</topic><topic>Case reports</topic><topic>Disease</topic><topic>Intensive care</topic><topic>Internal Medicine</topic><topic>Magnetic resonance imaging</topic><topic>Mass spectrometry</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Metabolism</topic><topic>Neurology</topic><topic>Pediatrics</topic><topic>RNA polymerase</topic><topic>Scientific imaging</topic><topic>Spasticity</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, Sonali</creatorcontrib><creatorcontrib>Mishra, Anshika</creatorcontrib><creatorcontrib>Murthy, Chinmayee</creatorcontrib><creatorcontrib>Inban, Pugazhendi</creatorcontrib><creatorcontrib>Abdefatah Ali, Munira</creatorcontrib><creatorcontrib>Yadav, Anupam S</creatorcontrib><creatorcontrib>Intsiful, Tarsha A</creatorcontrib><creatorcontrib>O Omar, Zainab T</creatorcontrib><creatorcontrib>Lakhra, Sakshi</creatorcontrib><creatorcontrib>Khan, Dr Aadil</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, Sonali</au><au>Mishra, Anshika</au><au>Murthy, Chinmayee</au><au>Inban, Pugazhendi</au><au>Abdefatah Ali, Munira</au><au>Yadav, Anupam S</au><au>Intsiful, Tarsha A</au><au>O Omar, Zainab T</au><au>Lakhra, Sakshi</au><au>Khan, Dr Aadil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Rare Case of Hypomyelinating Leukodystrophy and Its Management: A Case Report and Literature Review</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2023-03-21</date><risdate>2023</risdate><volume>15</volume><issue>3</issue><spage>e36471</spage><pages>e36471-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>A subset of hereditary white matter disorders called hypomyelinating leukodystrophies (HLD) is characterized primarily by the absence of myelin deposition. Although the clinical presentation can be mild and the development of symptoms can occur in adolescence or adulthood, the majority of severe cases present during infancy and early childhood with significant neurological impairments. The clinical features vary from muscle stiffness to seizures and developmental delay. The detailed myelination process can be seen with magnetic resonance imaging (MRI), and many patients are diagnosed using MRI pattern recognition and next-generation sequencing (NGS) in most cases. Here, we report a case of an infant suffering from the hypomyelinating leukodystrophy-13 (HLD-13) variant, whose next-generation sequencing revealed a pathogenic homozygous variant.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>37090362</pmid><doi>10.7759/cureus.36471</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2168-8184
ispartof Curēus (Palo Alto, CA), 2023-03, Vol.15 (3), p.e36471
issn 2168-8184
2168-8184
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10117409
source Publicly Available Content Database; PubMed Central
subjects Age
Atrophy
Case reports
Disease
Intensive care
Internal Medicine
Magnetic resonance imaging
Mass spectrometry
Medical research
Medicine
Metabolism
Neurology
Pediatrics
RNA polymerase
Scientific imaging
Spasticity
Teenagers
title A Rare Case of Hypomyelinating Leukodystrophy and Its Management: A Case Report and Literature Review
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T11%3A39%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Rare%20Case%20of%20Hypomyelinating%20Leukodystrophy%20and%20Its%20Management:%20A%20Case%20Report%20and%20Literature%20Review&rft.jtitle=Cur%C4%93us%20(Palo%20Alto,%20CA)&rft.au=Singh,%20Sonali&rft.date=2023-03-21&rft.volume=15&rft.issue=3&rft.spage=e36471&rft.pages=e36471-&rft.issn=2168-8184&rft.eissn=2168-8184&rft_id=info:doi/10.7759/cureus.36471&rft_dat=%3Cproquest_pubme%3E2807829966%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c1821-5373dc88b82476c68ca34d3f1d14d01144a755288a169e60fead0874cd3e354d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2807829966&rft_id=info:pmid/37090362&rfr_iscdi=true