Chandrasekar S, John J, Satapathy AK, Mahapatro S. When the head is big, think this too: Megalencephalic leukoencephalopathy in a toddler with only a large head. A case report.
J Family Med Prim Care 2021;
10:2416-2418. [PMID:
34322448 PMCID:
PMC8284232 DOI:
10.4103/jfmpc.jfmpc_2012_20]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 12/02/2020] [Accepted: 12/02/2020] [Indexed: 11/19/2022] Open
Abstract
We present a one-year old, developmentally normal toddler from a non Agarwal community, who presented to us with only a large head. The examination findings were unremarkable except a large head circumference. Neuroimaging confirmed the diagnosis of megalencephalic leukoencephalopathy (MLC). Although developmental delay and seizures are common manifestations in MLC, we want to highlight the fact that many children like ours may have no neurological manifestations at all which makes it necessary to do neuroimaging to establish the diagnosis and offer genetic testing for confirmation of the same.
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