Differential Diagnosis



Differential Diagnosis





Useful diagnostic resources include two online databases searchable by physical findings: On-Line Mendelian Inheritance in Man (OMIM, http://www-ncbi-nlm-nih-gov.easyaccess1.lib.cuhk.edu.hk/omim); SimulConsult Neurological Syndromes (http://www.simulconsult.com)























Table 96.1 Pattern of Inheritance Other Than Autosomal Recessive










































































Some X-linked recessive diseases
Adrenoleukodystrophy
Pelizaeus-Merzbacher disease
Fabry disease
Hunter syndrome (mucopolysaccharidosis II)
Ornithine transcarbamylase deficiency
Lesch-Nyhan syndrome
Leber optic atrophy
Lowe oculocerebrorenal syndrome
Trichopoliodystrophy (Menkes syndrome)
Duchenne/Becker muscular dystrophy
Norrie disease
Fragile X syndrome
X-linked cortical dysplasias
X-linked mental retardation syndromes
Some X-linked dominant diseases
Incontinentia pigmenti
Pseudo- and pseudopseudohypoparathyroidism
Rett syndrome
Aicardi syndrome
Subcortical band heterotopia
Some autosomal-dominant diseases
Neurofibromatosis
Tuberous sclerosis
Von Hippel-Lindau disease
Acute intermittent porphyria
Huntington disease
Some dystonias
Dentatorubralpallidoluysian atrophy
Spinocerebellar ataxias (SCA)
Some mitochondrial cytopathies
MERRF (myoclonic epilepsy with red ragged fibers)
MELAS (mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes)
LHON (Leber hereditary optic neuropathy)
NARP (neuropathy, ataxia, and retinitis pigmentosa)
Leigh syndrome








Table 96.2 Predominant Ethnic Background In Some Diseases












































Ashkenazi Jewish
Classic Tay-Sachs disease
Infantile Niemann-Pick disease
Primary generalized dystonia (DYT1)
Mucolipidosis IV
Canavan disease
Dysautonomia
Juvenile non-neuronopathic Gaucher disease
Saudi Arabia
Canavan disease
Nova Scotia
Type D Niemann-Pick disease
Japan
Sialidosis with chondrodystrophy
Dentatorubralpallidoluysian atrophy
Scandinavia
Finnish ceroid lipofuscinosis (types 1,5)
Juvenile neuronopathic Gaucher disease
Krabbe disease
Aspartylglucosaminuria
Baltic myoclonus (Unverricht-Lundborg disease)








Table 96.3 Typical Age At Onset


























































































































































































Neonatal or early infantile onset
Aminoacidurias and organic acidurias
Urea cycle disorders
Galactosemia
Connatal Pelizaeus-Merzbacher disease
Connatal Alexander disease
Congenital sialidosis
Early-onset mitochondrial cytopathies
Canavan disease
Aicardi-Goutières syndrome
Infantile Gaucher disease
Infantile adrenoleukodystrophy
Zellweger syndrome
Neonatal adrenoleukodystrophy
Chondrodysplasia punctata
Infantile Refsum disease
GMI gangliosidosis (infantile variant)
I-cell disease (mucolipidosis II)
Trichopoliodystrophy (Menkes)
Cerebro-oculo-facial-skeletal syndrome (COFS syndrome)
Neurocutaneous syndromes
Progressive spinal muscular atrophy (Werdnig-Hoffmann disease)
Seckel bird-headed dwarfism
Infantile onset
Aminoacidurias, organic acidurias, urea cycle disorders with partial enzyme deficiency
Many sphingolipidoses, mucopolysaccharidoses, mucolipidoses
Infantile ceroid lipofuscinosis
Leigh syndrome (early types)
Other mitochondrial cytopathies
Lesch-Nyhan syndrome
Sjögren-Larson syndrome
Canavan disease
Wolman disease
Alexander disease
Pelizaeus-Merzbacher disease
Neuroaxonal dystrophy
Alpha-N-acetylgalactosaminidase deficiency
Infantile PKAN (Hallervorden-Spatz disease)
Infantile fucosidosis
Nephrosialidosis
Sialidosis
Pompe disease
Xeroderma pigmentosum neurologic disease
Cockayne disease
Infantile galactosialidosis
Progeria
Rett syndrome
Onset in preschool years
Aminoacidurias, organic acidurias, urea cycle disorders with partial enzyme deficiency
Aspartylglucosaminuria
Marinesco-Sjögren syndrome
Alexander disease
Ataxia telangiectasia
Xeroderma pigmentosum neurologic disease
Chédiak-Higashi disease
Metachromatic leukodystrophy
Late infantile gangliosidoses
Niemann-Pick disease, Nova Scotia variant
Late infantile ceroid lipofuscinoses
Sanfilippo syndromes
Maroteaux-Lamy disease
Mild Hunter disease
Leigh syndrome and other mitochondrial cytopathies
Kearns-Sayre syndrome
Disintegrative psychosis
Other autistic regression
Leukodystrophy with vanishing white matter
Onset in school age or adolescence
Wilson disease
Acute intermittent porphyria
Juvenile ceroid lipofuscinosis
Adrenoleukodystrophy
Late variants of the gangliosidoses
Niemann-Pick type C disease
Sialidosis with cherry-red spot myoclonus (variants with and without chondrodystrophy)
Fabry disease
Cerebrotendinous xanthomatosis
Leigh syndrome (some variants)
Other mitochondrial cytopathies (e.g., MERRF and MELAS syndromes)
Refsum disease
Friedreich ataxia
Bassen-Kornzweig disease
Other spinocerebellar degenerations
Primary generalized dystonia (DYT1)
Juvenile Huntington disease
Juvenile parkinsonism
Classic Hallervorden-Spatz disease (PKAN)
Lafora disease
Baltic myoclonus
Subacute sclerosing panencephalitis (SSPE)
Cockayne disease (late variants)
Xeroderma pigmentosum neurologic disease (late variants)

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Jul 27, 2016 | Posted by in NEUROLOGY | Comments Off on Differential Diagnosis

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