Cerebrotendinous xanthomatosis (CTX): clinical features

Evidence-based neurology checklist on cerebrotendinous xanthomatosis (ctx): clinical features: Genetics and pathology This is caused by mutations in the CYP27A1 gene This encodes sterol 27-hydroxylase The mutations result in cholestanol accumulation in tissues Main features Cranial features Spinal…

Genetics and pathology

  • This is caused by mutations in the CYP27A1 gene
  • This encodes sterol 27-hydroxylase
  • The mutations result in cholestanol accumulation in tissues

Main features

Cranial features

Spinal features

Peripheral features

Psychiatric features

Systemic features

Differential diagnosis

References

  1. Moghadasian MH, Salen G, Frohlich JJ, Scudamore CH. Cerebrotendinous xanthomatosis: a rare disease with diverse manifestations. Arch Neurol 2002; 59:527-529.
  2. Rafiq M, Sharrack N, Shaw PJ, Hadjivassiliou M. A neurological rarity not to be missed: cerebrotendinous xanthomatosis. Pract Neurol 2011; 11:296-300.
  3. Stelten BML, van de Warrenburg BPC, Wevers RA, Verrips A. Movement disorders in cerebrotendinous xanthomatosis. Parkinsonism Relat Disord 2019; 58:12-16. 
  4. Pedroso JL, Pinto WB, Souza PV, et al. Early-onset epilepsy as the main neurological manifestation of cerebrotendinous xanthomatosis. Epilepsy Behav 2012; 24:380-381.
  5. Larson A, Weisfeld-Adams JD, Benke TA, Bonnen PE. Cerebrotendinous xanthomatosis presenting with infantile spasms and intellectual disability. JIMD Rep 2016 (Epub ahead of print).
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