title: Adrenomyeloneuropathy.
abstract: A 29-year-old male patient presented with progressive spastic paraparesis of three years duration. He also had gait ataxia which led to recurrent falls. In addition, there was pigmentation of the skin creases, tongue and buccal mucosa. His clinical course was remarkable by recurrent episodes of diarrhea, pulmonary tuberculosis. The investigatory work up showed a normal MRI scan of the brain, spinal cord and normal abdominal structures. The basal serum cortisol levels were low. Adrenomyeloneuropathy was diagnosed and he was started on corticosteroid supplementation. Mineralocorticoid supplementation also is planned in the follow up. The case is being presented for its rarity.
authors: Department of Neurology, Osmania Medical College and Osmania General Hospital, Hyderabad.
authors: S
authors: S
authors: Misra
authors: R
authors: R
authors: Ramesh
authors: Ch Sita
authors: ChS
authors: Ramu
authors: G
authors: G
authors: Srirangalaxmi
authors: H
authors: H
authors: Radhakrishn
authors: Vajresware
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000326:Adrenoleukodystrophy / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D020234:Gait Ataxia / Q000209:etiology; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D008297:Male; D020336:Paraparesis, Spastic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D006854:Hydrocortisone