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Actualité : Characterizing Late-Onset MTHFR Deficiency
MediaPublications
· 11 December 2024

Characterizing Late-Onset MTHFR Deficiency

In this podcast, we discuss the clinical presentations and imaging findings of adult patients with MTHFR (methylenetetrahydrofolate reductase) deficiency. This rare disease, often associated with leukodystrophy, is treatable but still under-recognized in adults. Most patients develop symptoms in childhood, but adult-onset forms exist, making it important for neurologists and internists to know about this condition and search for it through the measurement of homocystein levels.

Actualité : Diagnostic Approach for Adult Metabolic Leukodystrophy
Publications
· 11 December 2024

Diagnostic Approach for Adult Metabolic Leukodystrophy

Metabolic leukodystrophies should be considered in all patients with patterns of white matter abnormalities that are not evocative of an inflammatory or vascular process. Metabolic leukodystrophies typically present with bilateral and symmetrical white matter involvement, either fascicular or confluent. Biochemical analyses should be conducted as first-line investigations, including blood tests for cholestanol, homocysteine, very long-chain […]

Actualité : Key Elements of Diagnosis and Treatment for Men with X-Linked Adrenoleukodystrophy
Publications
· 11 December 2024

Key Elements of Diagnosis and Treatment for Men with X-Linked Adrenoleukodystrophy

X-linked adrenoleukodystrophy (ALD), caused by pathogenic variants in the ABCD1 gene, is a neurodegenerative disease associated with adrenal insufficiency. The biochemical marker of the disease is the increase of very long-chain fatty acid plasma levels. Although ALD is a rare disease (with an incidence of 1 in 17,000 births), it is the most common leukodystrophy in males across all age groups.