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Case of Aicardi-Goutières Syndrome With Long-lasting Increase of Cerebrospinal Interferon-
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- 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- 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- in the cerebrospinal fluid is discussed with respect to the clinical course. (J Child Neurol 2005;20:915920).
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.
[Abstract]
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