Aicardi Goutières syndrome (AGS): clinical features

Evidence-based neurology checklist on aicardi goutières syndrome (ags): clinical features: Pathogenesis This is an immune–mediated neurodevelopmental disorder There is induction of type 1 interferon production This is associated with upregulation of interferon stimulated genes There is possible…

Pathogenesis

  • This is an immune–mediated neurodevelopmental disorder
  • There is induction of type 1 interferon production
  • This is associated with upregulation of interferon stimulated genes
  • There is possible associated astrocyte dysfunction

Neurological features

Autoimmune features

Systemic features

Restricted phenotypes associated with AGS1 (TREX1)

Restricted phenotypes associated with AGS6 (ADAR1)

Differential diagnosis

References

  1. Uyur Yalçın E, Maraş Genç H, Kara B. Clinical and neuroradiologic variability of Aicardi-Goutiéres syndrome: Two siblings with RNASEH2C mutation and a boy with TREX1 mutation. Turk J Pediatr. 2015; 57:504-508.
  2. Ortiz-Madinaveitia S, Conejo-Moreno D, López-Pisón J, et al. Phenotypic variations in Aicardi-Goutieres syndrome caused by RNASEH2B gene mutations: report of two new cases. Rev Neurol 2016; 62:165-169.
  3. Schmelzer L, Smitka M, Wolf C, et al. Variable clinical phenotype in two siblings with Aicardi-Goutières syndrome type 6 and a novel mutation in the ADAR gene. Eur J Paediatr Neurol 2018; 22:186-189.
  4. Abdel-Salam GMH, Abdel-Hamid MS, Mohammad SA, et al. Aicardi-Goutières syndrome: unusual neuro-radiological manifestations. Metab Brain Dis 2017; 32:679-683.
  5. La Piana R, Tran LT, Guerrero K, et al. Spastic paraparesis and marked improvement of leukoencephalopathy in Aicardi-Goutières syndrome. Neuropediatrics 2014; 45:406-410.
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