Pelizaeus–Merzbacher disease (PMD): clinical features

Evidence-based neurology checklist on pelizaeus–merzbacher disease (pmd): clinical features: Clinical features Mild spastic paraparesis Developmental delay Feeding difficulties Cognitive impairment Hypotonia followed by spastic paraparesis/quadriparesis Nystagmus Visual impairment Impaired head…

Clinical features

  • Mild spastic paraparesis
  • Developmental delay
  • Feeding difficulties
  • Cognitive impairment
  • Hypotonia followed by spastic paraparesis/quadriparesis
  • Nystagmus
  • Visual impairment
  • Impaired head control
  • Dystonia
  • Ataxia
  • Choreoathetosis
  • Hearing impairment

Differential diagnosis

References

  1. Hoffman-Zacharska D, Mierzewska H, et al. The spectrum of PLP1 gene mutations in patients with the classical form of the Pelizaeus-Merzbacher disease. Med Wieku Rozwoj 2013; 17:293-300.
  2. Laukka JJ, Stanley JA, Garbern JY, et al. Neuroradiologic correlates of clinical disability and progression in the X-linked leukodystrophy Pelizaeus-Merzbacher disease. J Neurol Sci 2013; 335:75-81.
  3. Wolf NI, Sistermans EA, Cundall M, et al. Three or more copies of the proteolipid protein gene PLP1 cause severe Pelizaeus-Merzbacher disease. Brain 2005; 128:743-751.
  4. Morlet T, Nagao K, Bean SC, Mora SE, Hopkins SE, Hobson GM. Auditory function in Pelizaeus-Merzbacher disease. J Neurol 2018; 265:1580-1589. 
  5. Lossos A, Elazar N, Lerer I, et al. Myelin-associated glycoprotein gene mutation causes Palizeus-Marzbacher disease-like disorder. Brain 2015; 138:2521-2236.

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