We describe two adolescent Indian siblings with cerebrotendinous xanthomatosis with cognitive impairment, progressive neurological deterioration, juvenile cataracts and chronic diarrhea. Both patients had bilateral Achilles tendon xanthomata. Rapid progression of disease was an unusual finding in these cases. Magnetic resonance imaging showed characteristic signal alterations in cerebellar hemispheres, brainstem and posterior cerebral white matter.
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Mazandaran Univ Med Sci, Fac Med, Dept Neurol, Sari, IranMazandaran Univ Med Sci, Fac Med, Dept Neurol, Sari, Iran
Baghbanian, Seyed Mohammad
Amiri, Mohammad Reza Mahdavi
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Mazandaran Univ Med Sci, Thalassemia Res Ctr, Sch Allied Med Sci, Hemoglobinopathy Res Inst,Lab Sci,Med Genet, Sari, IranMazandaran Univ Med Sci, Fac Med, Dept Neurol, Sari, Iran
Amiri, Mohammad Reza Mahdavi
Majidi, Hadi
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Mazandaran Univ Med Sci, Fac Med, Orthoped Res Ctr, Dept Radiol, Sari, IranMazandaran Univ Med Sci, Fac Med, Dept Neurol, Sari, Iran