Neuroacanthocytosis misdiagnosed as Huntington's disease: a case report.
A patient with the typical features of neuroacanthocytosis is reported. Chorea, tics, personality changes and caudate atrophy on cranial MRI resulted in an erroneous diagnosis of Huntington's disease elsewhere. Attention to other features viz., absence of ocular motility disturbances, amyotrophy, areflexia, EMG evidence of axonopathy, raised serum creatinine phosphokinase (CPK) levels and the typical erythrocytic acanthocytosis enabled us to establish the correct diagnosis. The typical features of the disease as seen in the patient are discussed. In view of the implications for genetic counseling, careful clinical and laboratory evaluation is always warranted to exclude neuroacanthocytosis in all suspected cases of Huntington's disease.
Meenakshi-Sundaram
S
S
Department of Neurosciences, Apollo Speciality Hospitals, Lake View Road, KK Nagar, Madurai 625020, Tamil Nadu, India. drsundarsms@yahoo.com
Arun Kumar
M J
MJ
Sridhar
Rohini
R
Rani
Usha
U
Sundar
Bharathi
B
D000328:Adult; D001284:Atrophy; D002421:Caudate Nucleus / Q000473:pathology; D002819:Chorea / Q000175:diagnosis*; D003680:Deglutition Disorders / Q000175:diagnosis; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D006801:Humans; D006816:Huntington Disease / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male