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Journal of Child Neurology
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Case of Aicardi-Goutières Syndrome With Long-lasting Increase of Cerebrospinal Interferon-{alpha}

Petia S. Dimova, MD

Clinic of Child Neurology St. Naum University Hospital of Neurology and Psychiatry, pdimova{at}cablebg.net

Olya A. Mikova, MD

Laboratory of Neuroimmunology St. Naum University Hospital of Neurology and Psychiatry Sofia, Bulgaria

Aicardi-Goutières syndrome is a rare progressive encephalopathy characterized by a typical clinical picture, bilateral basal ganglia calcifications, leukodystrophy and brain atrophy, lymphocytosis, and elevated interferon-{alpha} in the cerebrospinal fluid. Among the cases described to date, variability in the clinical expression or in the cerebrospinal fluid abnormalities has been reported. We present a case with a delayed diagnosis at the age of 8 years, when brain computed tomography was done because there was no first image from the age of 8 months, when the disease started. Symmetric basal ganglia calcifications were visualized and led to purposeful investigation of the cerebrospinal fluid. It revealed an interferon-{alpha} titer of 103 IU/mL, which, together with the progressive brain damage and disease course, was crucial for the diagnosis. This rare finding of long-term highly elevated interferon-{alpha} in the cerebrospinal fluid is discussed with respect to the clinical course. (J Child Neurol 2005;20:915—920).

Journal of Child Neurology, Vol. 20, No. 11, 915-920 (2005)
DOI: 10.1177/08830738050200111101


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S. Orcesi, R. La Piana, and E. Fazzi
Aicardi-Goutieres syndrome
Br. Med. Bull., March 1, 2009; 89(1): 183 - 201.
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