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Neuronal ceroid lipofuscinoses (NCLS)

Alternative Names:
Lipofuscinoses; Batten disease; Jansky-Bielschowsky; Kufs' disease; Spielmeyer-Vogt

Symptoms:
  • Blindness or visual disturbance
  • Ataxia, unsteady gait
  • Mental retardation with decreasing mental function
  • Dementia (deterioration of ability to think)
  • Seizures
  • Abnormal increased muscle tone or spasm (myoclonus)
  • Movement disorder (choreoathetosis)


Signs and tests:

Tests include:

  • Tissue biopsy to demonstrate lipofuscin (aging pigment) storage
  • Autofluorescence, a light technique to see if white blood cells contain vacuoles or lipofuscin
  • Electron microscopy of a skin biopsy to show abnormal inclusions in cells
  • MRI or CT scans of the brain to show atrophy (shrinkage or small brain)
  • EEG, which may show abnormal excitability of the brain and seizure
  • Evoked visual potentials that be reduced or even absent
  • Electroretinogram that may reveal severe impairment of vision
  • Genetic testing (available for multiple subtypes of this group of diseases)



Review Date: 11/21/2005
Reviewed By: Christos Ballas, M.D., Attending Psychiatrist, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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