Regression of white matter hypodensities with age in Aicardi-Goutierés syndrome: a case report.
BACKGROUND
Aicardi-Goutierés syndrome (AGS) is a severe and progressive familial encephalopathy that is characterized by acquired microcephaly, intracranial calcification, white matter lesions, and chronic lymphocytosis with elevated levels of interferon-alpha in the cerebrospinal fluid. Although the degree of calcification and the severity of brain atrophy are variable, typically, the brain lesions appear to progress on successive examinations.


METHODS
We report a 7-year-old male patient who showed relative regression of white matter lesions with nonprogression of basal ganglia calcification and atrophy on follow-up magnetic resonance imaging and computed tomography scans.


RESULTS
Magnetic resonance spectroscopy findings were normal. This, to our knowledge, is the first case report, which describes relative regression of the white matter changes in AGS.
Kothare
Sanjeev V
SV
Division of Pediatric Neurology, Department of Pediatrics, Dr Balabhai Nanavati Hospital & Research Center, Mumbai, India.
Pungavkar
Sona A
SA
Patkar
Deepak P
DP
Sainani
Nisha I
NI
Naik
Martand H
MH
Gadani
Sameeer
S
D000367:Age Factors; D001284:Atrophy / Q000473:pathology*; D001480:Basal Ganglia Diseases / Q000473:pathology*; D002114:Calcinosis / Q000473:pathology*; D002648:Child; D018450:Disease Progression; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed