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Alexander disease

Thursday 18 March 2004

Autosomal dominant neurological disease.

Synopsis

- Progressive macrocephaly
- Hydrocephalus
- Diffuse demyelination
- Coarsened pattern of sulci and gyri
- Presence of Rosenthal fibers (eosinophilic bodies near astrocyte filaments) in astrocytes
- Presence of glial fibrillary acidic proteins (GFAP) in astrocytes
- Elevated CSF protein

Etiology

- germline mutations in GFAP protein

References

- Li R, Messing A, Goldman JE, Brenner M. GFAP mutations in Alexander disease. Int J Dev Neurosci. 2002 Jun-Aug;20(3-5):259-68. PMID: 12175861