Teaching NeuroImages: A rare case of metachromatic leukodystrophy with multiple bilateral cranial nerve enhancement

Multiple cranial nerve enhancement: a new MR imaging finding in metachromatic leukodystrophy.

Finding in Metachromatic Leukodystrophy Metachromatic leukodystrophy (MLD) is a set of several disorders caused by deficient lysosomal activity. This deficiency results in accumulation of a metachromatic lipid material, galactosylceramide sulfatide, leading to the breakdown of the myelin sheath in both central and peripheral nervous systems, initially sparing the subcortical “U” fibers. Several...

Adult-type metachromatic leukodystrophy mimicking multiple sclerosis.

recessive lysosomal storage disease caused by a deficiency of arylsulphatase A (ASA). It is characterized by accumulation of sulphatide in the white matter in the central nervous system and peripheral nerves1. The disease is divided in four subtypes, according to onset, severity and progression of the disease: late infantile (before age 4), early juvenile (age 4 to 6), late juvenile (age 6 to 1...

Peripheral Nerve Conduction in Metachromatic Leukodystrophy (sulphatide Lipidosis).

A Rare Bilateral Variation in the Formation of Median Nerve

The median nerve is formed by fusion of lateral (C5-C7) and medial (C8, T1) cords from the brachial plexus. Bilateral variations in the formation of median nerve are very rare. One of such variations was observed during the dissection of the upper limb of approximately a 30-35-year-old man cadaver, according to Grant s method. The median nerve was formed by the union of three roots on both side...

A rare case of bilateral pelvic mass

 Absract A case of 69- year-old woman with large pelvic mass and ascites is reported in this paper. With the exception of mild pelvic pain and a Pelvic mass in pelvic , she had no symptom or sign . All routine and hormonal Lab tests and tumor marker's were normal. The MRI revealed a large mass in anterosuperior of uterus, and left ovary was situated in neighborhood of pelvic mass.Her Uterus nor...