Vanishing White Matter Disease: A Case Report and Review of Literature

Authors

  • Sana Ali Department of Radiology, Jinnah Hospital Lahore, Pakistan
  • Muhammad Sohaib Nadeem Department of Clinical Oncology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Amir Shabab Department of Orthopaeds, Jinnah Hospital Lahore, Pakistan
  • Ujala Ali Department of Physiology, National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i2.7991

Keywords:

Childhood Ataxia with Central Hypomyelination (CACH), Fluid-Attenuated Inversion Recovery (FLAIR), Hypomyelination, Leukoencephalopathies

Abstract

Vanishing white matter disease is an autosomal recessive hereditary condition of brain. It may have variable phenotypic presentations but is more frequently encountered in younger age group. It is characterized by progressive encephalopathy and episodic neurological decline with predominant feature of cerebellar ataxia. Initial symptoms are preceded by a history of minor trauma, infection or stress. We present here a classic case of vanishing white matter disease diagnosed on Magnetic Resonance Imaging, documented in a four-year-old girl who presented with gait disturbance and progressive neurological deficits following a fall from bike.

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Author Biography

  • Amir Shabab, Department of Orthopaeds, Jinnah Hospital Lahore, Pakistan

    consultant orthopaedic and spinal surgeon

References

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Keefe MD, Soderholm HE, Shih HY, Stevenson TJ, Glaittli KA, Bowles DM, et al. Vanishing white matter disease expression of truncated EIF2B5 activates induced stress response. Elife 2020; 9: e56319. https://doi.org/10.7554/eLife.56319

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http://dx.doi.org/10.18203/2349-3291.ijcp20202163

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Published

29-04-2025

Issue

Section

Case Reports

How to Cite

1.
Ali S, Nadeem MS, Shabab A, Ali U. Vanishing White Matter Disease: A Case Report and Review of Literature. Pak Armed Forces Med J [Internet]. 2025 Apr. 29 [cited 2025 May 1];75(2):424-5. Available from: https://www.pafmj.org/PAFMJ/article/view/7991