Metachromatic leukodystrophy and nonverbal learning disability: neuropsychological and neuroradiological findings in heterozygous carriers
Autor: | Anna W. Byars, N. Franz, Gyato Kunsang, J. McKellop Mark, Sullivan Tom |
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Rok vydání: | 2002 |
Předmět: |
Adult
Male Arylsulfatase A Pediatrics medicine.medical_specialty Heterozygote genetic structures Adolescent Genotype Neuropsychological Tests complex mixtures Developmental psychology Nonverbal communication Developmental and Educational Psychology medicine Humans Family Child Cerebroside-Sulfatase Learning Disabilities Neuropsychology Brain Leukodystrophy Metachromatic Syndrome medicine.disease Magnetic Resonance Imaging eye diseases Metachromatic leukodystrophy Neuropsychology and Physiological Psychology Phenotype Child Preschool Pediatrics Perinatology and Child Health Learning disability Female sense organs medicine.symptom Psychology human activities |
Zdroj: | Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence. 7(1) |
ISSN: | 0929-7049 |
Popis: | Metachromatic leukodystrophy (MLD) is an autosomal recessive neurodegenerative disorder due to deficiency of the enzyme arylsulfatase A that leads to progressive, diffuse demyelination. The syndrome of nonverbal learning disability has been attributed to white matter abnormality and has been reported in children with this disorder and in some healthy family member carriers of gene. We examined the neuropsychologic profiles and MRIs of eight members of the family of a 7-year-old girl with this disease, all of whom were heterozygous carriers of the mutation and five of whom were also carriers of the MLD pseudodeficiency gene. All had low normal levels of arylsulfatase A, and seven of the eight had average or better profiles across all assessed neuropsychological domains. The patient's younger sister had a profile with features of the syndrome of nonverbal learning disability despite a normal MRI, whereas two members with minor white matter findings did not. This family does not provide evidence for the syndrome of nonverbal learning disability in heterozygous carriers of the gene for MLD, even when associated with the MLD pseudodeficiency gene. |
Databáze: | OpenAIRE |
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