title: Childhood leukodystrophy presenting as secondary bipolar disorder.
abstract: Leukodystrophies are rare dysmyelinating disorders of the nervous system, which occasionally have an initial psychiatric presentation. This report describes a case of a 9-year-old boy whose initial presentation resembled a bipolar disorder but subsequent work-up revealed an underlying leukodystrophy, most likely Alexander's disease. The course of this rare disease along with the implications of making a diagnosis of leukodystrophy in a psychiatric setting is discussed.
authors.affiliation: HARPREET S.DUGGAL, DPM., Resident, Central Institute of Psychiatry, Kanke, Ranchi 834 006.
authors.forename: H S
authors.initials: HS
authors.lastname: Duggal
authors.forename: V K
authors.initials: VK
authors.lastname: Sinha
authors.forename: S H
authors.initials: SH
authors.lastname: Nizamie