Intellectual Disability, Falls and Gait Disturbances: A Misdiagnosis
  • Noel Lorenzo Villalba
    Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Santiago Díaz Nicolas
    Neurology Department, Dr Negrin University Hospital, Las Palmas de Gran Canaria, Spain
  • Maria Belen Alonso Ortiz
    Internal Medicine Department, Dr Negrin University Hospital, Las Palmas de Gran Canaria, Spain
  • Zaida Cordoba Sosa
    Internal Medicine Department, Fuerteventura General Hospital, Puerto del Rosario, Spain
  • Saturnino Suárez Ortega
    Internal Medicine Department, Dr Negrin University Hospital, Las Palmas de Gran Canaria, Spain
  • Abrar-Ahmad Zulfiqar
    Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France

Keywords

Neurodegeneration with brain iron accumulation, pantothenate kinase-associated neurodegeneration, magnetic resonance imaging

Abstract

We report the case of a 27-year-old man presenting with slowly progressive extrapyramidal dysfunction and learning disability considered to have a syndromic intellectual disability. The re-evaluation of the clinical features and the investigations performed led to the diagnosis of atypical pantothenate kinase-associated neurodegeneration (PKAN).

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References

  • Salomão RPA, Pedroso JL, Gama MTD, Dutra LA, Maciel RH, Godeiro-Junior C, et al. A diagnostic approach for neurodegeneration with brain iron accumulation: clinical features, genetics and brain imaging. Arq Neuropsiquiatr 2016;74:587–596.

  • Bokhari MR, Zulfiqar H, Bokhari SRA. Hallervorden Spatz disease (pantothenate kinase-associated neurodegeneration, PKAN). [Updated 2019 Dec 12]. In: StatPearls [Internet], Treasure Island (FL): StatPearls Publishing; 2019. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430689/.

  • Goldberg M, Malik K, Jiswant R, Khaku AS. Eye-of-the-tiger sign in neurodegeneration with brain iron accumulation. Cureus 2019;11(6):e4936.

  • Hartig M, Hortnagel K, Garavaglia B, Zorzi G, Kmiec T, Klopstock T, et al. Genotypic and phenotypic spectrum of PANK2 mutations in patients with neurodegeneration with brain iron accumulation. Ann Neurol 2006;59:248–256.

  • Hosseinialhashemi M, Daneshfard B, Hashemi A. "Eye of the Tiger" in a non-responsive neuropsychiatric patient: a case report. Acta Med Iran 2018;56(1):71–73.

  • ClinialTrials.gov [Internet]. Ferrochelating treatment in patients affected by neurodegeneration with brain iron accumulation (NBIA) [September 2018]. Available from: https://clinicaltrials.gov/ct2/show/NCT00907283.
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    Published: 2020-02-13
    Issue: 2020: Vol 7 No 3 (view)


    How to cite:
    1.
    Lorenzo Villalba N, Díaz Nicolas S, Alonso Ortiz MB, Cordoba Sosa Z, Suárez Ortega S, Zulfiqar A-A. Intellectual Disability, Falls and Gait Disturbances: A Misdiagnosis. EJCRIM 2020;7 doi:10.12890/2020_001488.

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