![]() Her ten-year-old nephew underwent bone marrow transplantation and is in remission. ![]() The maternal grandfather died of a probable myocardial infarction in his late 60s and was not genotyped he did not have any gait disturbance. Her mother and sole sibling, a sister, are known X-linked adrenoleukodystrophy (X-ALD) carriers, but her maternal grandmother does not have the mutation. Her only son was diagnosed with childhood cerebral ALD (CC-ALD) and died at the age of six years, despite bone marrow transplantation. She is an ex-smoker and drinks moderate alcohol. At initial assessment, she complained of residual numbness affecting her entire right hand, and struggled with prolonged writing. There were no other neurological symptoms. She also reported mild urinary urgency and frequency. The last attack was characterized by weakness and incoordination of the right leg, associated with dizziness and difficulty walking, lasting twelve days. Subsequently, a further eight episodes of similar neurological disturbance occurred, each affecting her right side, lasting between twelve days and six weeks, and followed by recovery. The first episode began with numbness in the right foot, spreading to affect the right leg, trunk, arm and face, lasting six weeks before spontaneously resolving completely. A 29-year-old female was referred to the Adult Inherited Metabolic Disease clinic with a four-year history of episodic sensorimotor symptoms.
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