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Developmental Neuropathology

Developmental Neuropathology

Homa Adle-Biassette, Brian N. Harding, Jeffrey A. Golden, Francoise Gray, Katy Keohane

 

Verlag Wiley-Blackwell, 2018

ISBN 9781119013099 , 560 Seiten

2. Auflage

Format PDF, OL

Kopierschutz DRM

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Developmental Neuropathology


 

Developmental Neuropathology

3

Contents

7

List of Contributors

9

Introduction

15

1 Central Nervous System Manifestations of Chromosomal Change

17

Introduction

17

The craniofacial complex

17

Genetic counseling and the neuropathologist

17

Autosomal trisomy

17

Trisomy 8

18

Trisomy 9

18

Trisomy 13

18

Trisomy 18

19

Trisomy 21

19

Other autosomal aneuploidies

21

Triploidy

21

Tetraploidy

22

Sex chromosome aneuploidy

22

Deletions

22

Deletion 3p-

22

Deletion 4p-

22

Deletion 5p-

23

Deletion 9p-

23

Deletion 11q-

23

Deletion 13q-

25

Deletion 18p-

25

Deletion 18q-

25

Deletion 21q-

25

Duplications

25

Duplication 3q+

25

Duplication 9p+

25

Future perspective, conclusions

26

References

26

2 Neural Tube Defects

29

Definition

29

Normal embryology

29

Neural tube closure

29

Development of the skull and vertebral column

30

Secondary neurulation within the tail bud

31

Epidemiology

31

Prevalence

31

Sex distribution

31

Non-genetic risk factors

31

Clinical features

32

Clinical presentation

32

Biochemistry and prenatal diagnosis

32

Differential diagnosis

32

Pathology

32

Neural tube closure disorders

32

Axial mesodermal defects with herniation of the neural tube

34

Spinal dysraphism: defects of tail bud development

36

Genetics

37

Human genetic studies

37

Mouse genetic studies

37

Genetics of occipital encephalocele

38

Animal models and pathogenesis

38

Craniorachischisis

39

Exencephaly

39

Myelomeningocele

40

Treatment, future directions and conclusions

41

Surgical treatment

41

Primary prevention

42

References

42

3 Midline Patterning Defects

45

Definition of the disorder, major synonyms and historical perspective

45

Embryology of forebrain patterning

45

Holoprosencephaly

46

Definition

46

Synonyms and historical annotations

46

Epidemiology

46

Incidence

46

Genetics

47

Clinical features including appropriate investigations

47

Pathology

47

Pathogenesis and experimental models

50

Future directions and therapy

51

Atelencephaly and aprosencephaly

51

Definition and synonyms

51

Genetics

51

Pathology

51

Pathogenesis

52

Agenesis of the corpus callosum

52

Definition and epidemiology

52

Genetics

52

Clinical features including appropriate investigations

52

Pathology

52

Differential diagnosis

53

Embryology, pathogenesis and experimental models

53

Septo-optic dysplasia

53

Definition and synonyms

53

Genetics

53

Clinical features

53

Pathology

53

Differential diagnosis

53

Embryology, pathogenesis and experimental models

54

Other midline patterning defects

54

References

54

4 Microcephaly

57

Definitions, major synonyms and historical perspective

57

Normal embryology

57

Epidemiology

58

Clinical features

59

Imaging

59

Genetics

59

Autosomal recessive primary microcephaly

59

Dwarfism associated with microcephaly and DNA repair deficiency syndromes

59

Chromosomal structural microcephalies

59

Monogenic syndromic microcephalies

59

Metabolic microcephalies

60

Neuropathology

60

Differential diagnosis

62

Animal models and pathogenesis

67

Treatment, future perspectives, conclusions

68

References

68

5 Hemimegalencephaly and Dysplastic Megalencephaly

71

Definition and synonyms

71

Epidemiology and genetics

71

Clinical features and differential diagnosis

71

Clinical examination

71

Neuroimaging

72

Macroscopy

73

Histopathology

73

Immunohistochemistry

75

Pathogenesis

75

Experimental models

75

Models of DMEG

75

Models of HMEG or focal cortical dysplasia

75

Future investigations and therapies

75

Current therapies

75

Future investigation and potential therapies

75

References

76

6 Lissencephaly, Type I

79

Definition

79

Synonyms and historical annotations

79

Epidemiology

79

Incidence and prevalence

79

Sex and age distribution

79

Risk factors

79

Embryology

80

Genetics

81

Clinical features

82

Signs and symptoms

82

Imaging

82

Laboratory findings

82

Macroscopy

82

Histopathology

83

Immunohistochemistry and ultrastructural findings

84

Differential diagnosis

84

Experimental models and pathogenesis

84

Future directions and therapy

87

References

87

7 Lissencephaly, Type II (Cobblestone Lissencephaly)

91

Definition

91

Synonyms

91

Epidemiology

91

Genetics

91

Clinical features

92

Imaging

93

Embryology

93

Macroscopy

93

Histopathology

95

Differential diagnosis

96

Pathogenesis

97

Future directions and therapy

98

References

98

8 Polymicrogyria

101

Definition

101

Epidemiology

101

Incidence and prevalence

101

Sex and age distribution

101

Risk factors

101

Genetics

101

Clinical features

101

Signs and symptoms

101

Imaging

102

Laboratory findings

102

Macroscopy

103

Histopathology

103

Differential diagnosis

104

Experimental models

104

Pathogenesis

104

Future directions and therapy

105

References

105

9 Cerebral Heterotopia

107

Definition, major synonyms and historical perspective

107

Normal embryology

107

Epidemiology

108

Incidence and prevalence

108

Sex and age distribution

108

Risk factors

109

Clinical features

109

Signs and symptoms

109

Imaging

110

Macroscopy

110

Histopathology, immunohistochemistry and electron microscopy

110

Differential diagnosis

111

Genetics

111

Leptomeningeal heterotopia

111

Subcortical-band heterotopia

111

Periventricular heterotopia

112

Animal models

112

Leptomeningeal heterotopia

113

Subcortical-band heterotopia

113

Periventricular heterotopia

113

Pathogenesis

113

Genetic mechanisms in heterotopia: mosaicism in subcortical-band and periventricular heterotopias

113

Cellular mechanisms in heterotopia: defects at distinct stages in radial glial-guided neuronal migration

113

Molecular mechanisms and pathways regulating heterotopia formation

114

Non-genetic mechanisms in heterotopia

114

Treatment, future perspectives, and conclusions

114

References

114

10 Hippocampal Sclerosis, Granule Cell Dispersion, and Cortical Dysplasia

117

Part 1: Hippocampal sclerosis and granule cell dispersion

117

Definition, major synonyms and historical perspective

117

Normal embryology

117

Epidemiology

117

Clinical features

118

Pathology

118

Genetics and pathogenesis

120

Animal models

122

Treatment, future perspective, conclusions

122

Part 2: Cortical dysplasia

122

Definition, major synonyms and historical perspective

122

Normal embryology

122

Epidemiology

123

Clinical features

123

Pathology

124

Genetics and pathogenesis

127

Animal models

128

Surgical treatments and outcome

129

Future perspectives and conclusions

129

References

129

11 Tuberous Sclerosis Complex

133

Definition

133

Synonyms and historical annotations

133

Epidemiology

133

Incidence and prevalence

133

Sex and age distribution

134

Risk factors

134

Embryology

134

Genetics

134

Clinical features

134

Signs and symptoms

134

Neuroimaging

135

Laboratory findings

136

Macroscopy

136

Histopathology

137

Immunohistochemistry findings

141

Ultrastructural findings

142

Differential diagnosis

142

Experimental models

142

Pathogenesis

143

Future directions and therapy

144

References

145

12 Chiari Malformations

149

Definition, major synonyms and historical perspective

149

Embryology

149

Epidemiology

150

Incidence and prevalence

150

Risk factors

150

Clinical features

150

Radiology

151

Macroscopy and histopathology

151

Chiari type I and II

151

Chiari type III

152

Differential diagnosis

153

Genetics

153

Experimental models

153

Pathogenesis

154

Future directions and therapy

154

References

154

13 Dandy–Walker Malformation, Mega Cisterna Magna, and Blakes Pouch Cyst

157

Definitions

157

Synonyms and historical annotations

157

Clinical features

158

Neuroimaging

159

Children and adults

159

Fetal neuroimaging

160

Epidemiology and genetics

160

Pathology

160

Macroscopy

160

Histopathology

162

Differential diagnosis

162

Embryology

162

Development of the cerebellum and fourth ventricle

162

Blakes pouch

163

Anterior and posterior membranous areas of embryonic tela choroidea

163

“Fusion” of the vermis

163

Pathogenesis and etiology

163

Pathogenesis of cystic fourth ventricle

163

Pathogenesis of enlarged posterior fossa

164

Pathogenesis of cerebellar hypoplasia in DWM

164

Experimental models

164

Teratogen exposure

164

Genetic models

164

Treatment

165

Future investigations

165

References

165

14 Joubert Syndrome

167

Definition

167

Epidemiology

167

Clinical features

167

Neurologic presentation

167

Non-neurologic features and subgroups

167

Neuroimaging

168

The “molar tooth” sign

168

Other brain malformations seen by neuroimaging

169

Fetal neuroimaging

169

Neuropathology

169

Cerebellum

169

Brainstem

170

Dorsal medullary protuberance

171

Spinal cord

171

Cerebral hemispheres and diencephalon

171

Differential diagnosis

171

Genetics

171

Inheritance and genes

171

Genotype–phenotype correlations

171

Allelic Joubert syndrome-related disorders

172

Pathogenesis

172

Primary cilia

172

Animal models

172

Treatment

172

References

172

15 Cerebellar Heterotopia and Dysplasia

175

Definitions

175

Cerebellar heterotopia of infancy

175

Cerebellar dysplasias associated with neurodevelopmental syndromes

177

Rhombencephalosynapsis

178

Definition

178

Normal embryology

178

Epidemiology

178

Clinical and imaging features

180

Pathology

180

Genetics

180

Animal models

180

Treatment

180

References

180

16 Brainstem Malformations

183

Introduction

183

Olivary heterotopia

183

Definition

183

Epidemiology, clinical features and genetics

183

Imaging and laboratory findings

183

Macroscopy

183

Histopathology

183

Embryology and pathogenesis

183

Dysplasias of the dentate and olivary nuclei

183

Definition

183

Epidemiology, clinical features and genetics

184

Embryology and pathogenesis

184

Macroscopy

184

Histopathology

184

Dentato–olivary dysplasia with intractable seizures in infancy

184

Definition

184

Historical annotation

184

Epidemiology

184

Genetics

185

Clinical features

185

Imaging

185

Laboratory findings

185

Macroscopy

185

Histopathology

185

Differential diagnosis

186

Pathogenesis, animal models, therapy and future directions

186

Möbius syndrome

186

Definition

186

Epidemiology

186

Genetics

186

Clinical features

186

Laboratory findings

186

Macroscopy

186

Histopathology

186

Differential diagnosis

187

Experimental models

187

Pathogenesis

187

Treatment

187

Pontine tegmental cap dysplasia

187

Definition

187

Embryology

187

Epidemiology

187

Clinical features and investigation

187

Pathology

187

Genetics and pathogenesis

188

Pontocerebellar hypoplasia

188

Definition and synonyms

188

Historical perspective

188

Embryology

188

Epidemiology

188

Clinical features

188

Pathology

188

Genetics

189

Pathogenesis

189

Animal models.

190

Treatment

190

Granule cell aplasia

190

Definition and synonym

190

Embryology

190

Epidemiology and clinical features

190

Pathology

190

Genetics

191

Pathogenesis and animal models

191

References

191

17 Spinal Cord Lesions

195

Introduction

195

Definitions, synonyms and epidemiology

195

Tethered spinal cord

195

Hydromyelia

195

Myelocystocele

195

Syringomyelia

195

“Split notochord syndrome”

195

Holomyelia

196

Hemimegamyelia

196

Duplication of the central canal of the spinal cord

196

Malformative atresia–forking of the central canal of the spinal cord

196

Risk factors

196

Genetics

197

Clinical features

199

Imaging

199

Macroscopy

199

Histopathology

199

Differential diagnosis

201

Pathogenesis

201

Treatment

201

References

201

18 Hydrocephalus

203

Definition, major synonyms and historical perspective

203

Normal embryology and pathways of CSF production, circulation and resorption

203

Epidemiology

204

Clinical features

204

Pathology and physiopathology

204

Pathophysiology and morphological consequences of hydrocephalus and ventricomegaly

204

Etiology

205

Pathology

206

Genetics of congenital hydrocephalus (and pathogenesis)

208

X-linked hydrocephalus (L1 syndrome and related disorders)

208

Autosomal recessive hydrocephalus

208

Animal models

209

Treatment, future perspective, conclusions

210

References

210

19 Antenatal Disruptive Lesions

215

Definition, major synonyms and historical perspective

215

Normal embryology

216

Epidemiology

216

Clinical features, investigations and important differential diagnosis

216

Pathology

217

Genetics and pathogenesis

217

Animal models and pathogenesis

217

Treatment, future perspective, conclusions

217

References

218

20 Hemorrhagic Lesions

219

Definition, major synonyms and historical perspective

219

Normal development

219

Epidemiology

220

Incidence and prevalence

220

Sex and age distribution

220

Risk factors

220

Clinical features

220

Signs and symptoms

220

Imaging

221

Laboratory findings

221

Differential diagnosis

221

Pathology

221

Macroscopy

221

Histopathology

222

Immunohistochemistry and ultrastructure

223

Pathogenesis and genetics

223

Animal models

224

Treatment, future perspective, conclusions

224

References

225

21 White Matter Lesions in the Perinatal Period

229

Introduction

229

Definition, synonyms and historical annotations

229

Epidemiology

230

Incidence and prevalence

230

Sex and age distribution

230

Risk factors

230

Genetics

231

Clinical features

231

Clinical presentation

231

Imaging

231

Pathology

232

Macroscopy

232

Histopathology

232

Immunohistochemistry

233

Differential diagnosis

234

Experimental models

236

Pathogenesis

236

Future directions and therapy

239

References

240

22 Gray Matter Lesions

245

Definition, major synonyms and historical perspective

245

Normal development

245

Epidemiology and risk factors

246

Clinical features

246

Pathology

246

General features of damaged neurons and accompanying glial changes

246

Patterns of damage in hypoxic–ischemic encephalopathy

248

Pathogenesis and genetics

250

Animal models

251

Treatment, future perspective, conclusions

252

References

252

23 Pediatric Head Injury

257

Definition and historical perspective

257

Epidemiology

257

Clinical features

258

Pathology

258

Perinatal non-abusive head injury

258

Accidental head injury

258

Abusive head trauma in children

261

Animal models

263

Conclusions

263

References

263

24 Pediatric Vascular Malformations

267

Definition

267

Synonyms and historical annotations

267

Epidemiology

267

Incidence and prevalence, sex and age distribution

267

Risk factors

268

Embryology

268

Genetics

269

Clinical features

269

Signs and symptoms

269

Neuroimaging

271

Pathology

271

Macroscopy and histopathology

271

Immunohistochemistry and ultrastructural findings

278

Differential diagnosis

279

Experimental models

279

Future directions and therapy

279

Acknowledgments

281

References

281

25 Sudden Infant Death Syndrome

285

Introduction

285

Definition

285

Synonyms and historical annotations

286

Clinical features

286

Epidemiology

286

Incidence and prevalence

286

Sex and age distribution

286

Risk factors

287

Genetics

288

Pathology

288

Brainstem abnormalities

288

Hippocampal abnormalities

289

Orexin-related abnormalities in the hypothalamus

291

Heavy brain weight

291

Cerebral white matter pathology

291

Hypoxic–ischemic lesions in the brain

291

Pathogenesis

292

A unifying hypothesis of SIDS: defects in the central homeostatic network

292

Future directions

293

Acknowledgments

293

References

293

26 Kernicterus

297

Definition

297

Epidemiology

297

Genetics

297

Clinical features

297

Signs and symptoms

297

Imaging

298

Laboratory findings

298

Macroscopy

298

Histopathology

299

Biochemistry

299

Differential diagnosis

299

Experimental models

299

Future directions and therapy

299

References

299

27 Lesions Induced by Toxins

301

Definition

301

Synonyms and historical aspects

301

Epidemiology

301

Incidence and prevalence

301

Sex and age distinction

302

Risk factors

302

Embryology

302

Genetics

302

Clinical features

302

Fetal alcohol syndrome

302

Nicotine, fetal tobacco exposure

303

Marijuana, opiates, cocaine and amphetamine

303

Lead

303

Mercury

303

Imaging

303

Nicotine, tobacco

303

Synthetic opiates

303

Lead

303

Mercury and fetal alcohol syndrome

303

Laboratory findings

303

Lead

303

Mercury

304

Macroscopy

304

Fetal alcohol syndrome

304

Histopathology

304

Fetal alcohol syndrome

304

Nicotine, tobacco

304

Marijuana, opiates, cocaine and amphetamine

304

Lead

305

Mercury

305

Differential diagnosis

305

Fetal alcohol syndrome

305

Marijuana, opiates, cocaine and amphetamine

305

Lead

305

Mercury

306

Experimental models

306

Pathogenesis

306

Fetal alcohol syndrome

306

Nicotine, cigarette smoking

306

Marijuana, cocaine, opiates, amphetamines

306

Lead

306

Mercury

306

Future directions and therapy

307

References

307

28 Disorders of Carbohydrate Metabolism

309

Introduction

309

Lysosomal diseases

309

Synonyms and historical annotations

309

Epidemiology

312

Embryology

312

Genetics

312

Clinical features

312

Macroscopy

313

Histopathology

313

Immunohistochemistry and ultrastructural findings

314

Biochemistry

314

Differential diagnosis

315

Experimental models

315

Pathogenesis

315

Future directions and therapy

315

Polyglucosan disorders

315

Definition

315

Synonyms and historical annotations

317

Epidemiology

317

Genetics

317

Clinical features

317

Macroscopy

318

Histopathology

318

Immunohistochemistry and ultrastructural findings

319

Biochemistry

319

Differential diagnosis

319

Experimental models

319

Pathogenesis

319

Future directions and therapy

320

Congenital disorders of glycosylation

320

Definitions

320

Synonyms and historical annotations

320

Epidemiology

321

Genetics

321

Clinical features

321

Macroscopy

321

Histopathology

322

Immunohistochemistry and ultrastructural findings

322

Differential diagnosis

322

Biochemistry

323

Experimental models

323

Pathogenesis

323

Treatment

324

References

324

29 Sphingolipidoses and Related Disorders

329

Introduction

329

Sphingolipid synthesis (Table 29.1)

329

Sphingolipid catabolism (Table 29.1)

329

Laboratory diagnosis of sphingolipidoses

330

Specific treatments of sphingolipidoses

330

GM1 Gangliosidosis

334

Definition, Synonyms and Historical Perspective

334

Epidemiology

334

Clinical features

334

Genetics

335

Pathogenesis and animal models

336

Treatment, future perspective and conclusions

336

GM2 gangliosidosis

337

Definition, synonyms and historical perspective

337

Epidemiology

338

Clinical features

338

Pathology

339

Genetics

340

Pathogenesis and animal models

340

Treatment, future perspective and conclusions

340

Fabry disease

341

Definition, synonyms and historical perspective

341

Epidemiology

341

Clinical features

341

Pathology

342

Genetics

343

Pathogenesis and animal models

344

Treatment, future perspective and conclusions

344

Gaucher disease

344

Definition, major synonyms and historical perspective

344

Epidemiology

344

Clinical features

344

Pathology

345

Genetics

347

Animal models and pathogenesis

347

Treatment, future perspective and conclusions

348

Metachromatic leukodystrophy

348

Definition, dynonyms and historical perspective

348

Epidemiology

348

Genetics

348

Clinical features

349

Pathology, histochemistry and ultrastructural findings

349

Biochemistry

350

Differential diagnosis

352

Treatment, future perspective and conclusions

352

Multiple sulfatase deficiency

352

Definition, synonyms and historical perspective

352

Epidemiology

353

Clinical features

353

Pathology

353

Genetics

354

Pathogenesis and animal models

354

Treatment, future perspective and conclusions

354

Globoid-cell leukodystrophy (Krabbe disease)

354

Definition, synonyms and historical perspective

354

Epidemiology

354

Clinical features

354

Neuroimaging

355

Pathology

355

Genetics

357

Animal models and pathogenesis

357

Treatment, future perspective and conclusions

358

Niemann–Pick disease types A and B

358

Definition, synonyms and historical perspective

358

Epidemiology

358

Clinical features

358

Pathology

359

Genetics

359

Pathogenesis and animal models

361

Treatment, future perspective and conclusions

361

Niemann–Pick type C disease

361

Definition, synonyms and historical perspective

361

Epidemiology

361

Clinical features

362

Pathology

363

Genetics

363

Pathogenesis and animal models

363

Treatment, future perspective and conclusions

364

Farber disease

364

Definition, synonyms and historical perspective

364

Epidemiology

364

Clinical features

364

Pathology

365

Genetics

365

Pathogenesis and animal models

365

Treatment, future perspective and conclusions

366

Sphingolipid activator protein deficiency

366

Introduction

366

Sphingolipid activator protein deficiencies

367

Prosaposin deficiency

368

Epidemiology

368

Clinical features

369

Pathology

369

Genetics

371

Treatment, future perspective and conclusions

371

Sphingolipid biosynthesis deficiencies

371

Serine palmytoyl transferase, long-chain base subunit 1 and 2 deficiencies

371

Fatty acid 2-hydroxylase deficiency

372

Ceramide synthase 1 deficiency

372

Ceramide synthase 2 deficiency

373

GM3 synthase deficiency

373

GM2 synthase deficiency

373

References

374

30 The Neuronal Ceroid Lipofuscinoses

385

Introduction

385

CLN1: palmitoyl-protein thioesterase 1 deficiency with granular osmiophilic deposits

388

Definition

388

Synonyms and historical annotations

388

Epidemiology

389

Clinical features

389

Macroscopy

389

Histopathology

389

Ultrastructural findings

390

Biochemistry

390

Diagnosis

390

Genetics

390

Pathogenesis

390

Animal models

390

Future directions and therapy

390

CLN2: Classic late infantile NCL with tripeptidyl-peptidase I deficiency

390

Definition

390

Synonyms and historical annotations

390

Epidemiology

391

Clinical features

391

Macroscopy

391

Histopathology

391

Ultrastructural findings

391

Biochemistry

391

Diagnosis

391

Genetics

392

Pathogenesis

392

Animal models

392

Future directions and therapy

392

CLN3: Juvenile NCL with mutations in the CLN3 gene

392

Definition

392

Synonyms and historical annotations

392

Epidemiology

392

Clinical features

392

Macroscopy

392

Histopathology

392

Ultrastructural findings

393

Biochemistry

393

Diagnosis

393

Genetics

393

Pathogenesis

393

Animal models

393

Future directions and therapy

393

Rare Forms of Neuronal Ceroid Lipofuscinoses

393

CLN4: Adult NCL

393

CLN5: Finnish variant late infantile NCL

393

CLN6: Late infantile/early juvenile variant NCL

394

CLN7: Turkish variant late infantile NCL

394

CLN8: Turkish variant late infantile and northern epilepsy

394

CLN10: Congenital NCL

395

Additional recent forms of neuronal ceroid lipofuscinosis

395

References

395

NCL websites

396

31 Peroxisomal Disorders

397

Definition, major synonyms and historical perspective

397

Normal embryology

398

Epidemiology

398

Incidence and prevalence

398

Clinical features

398

Signs and symptoms

398

Imaging

398

Biochemistry and laboratory findings

399

Differential diagnosis

400

Pathology

400

Macroscopy

400

Histopathology, immunohistochemistry and ultrastructure

400

Genetics and pathogenesis

403

Animal models and pathogenesis

404

Treatment, future perspective, conclusions

405

References

405

Online resources

407

32 Mitochondrial Disorders

409

Definition, major synonyms and historical perspective

409

Embryology

409

Epidemiology

409

Biochemistry

409

Clinical features

410

Neuropathology

410

Central nervous system

410

Leigh syndrome

410

Kearns–Sayre syndrome

410

MELAS

412

MERRF

413

Alpers–Huttenlocher disease

414

Peripheral nervous system

415

Skeletal muscle

415

Genetics

416

Pathogenesis

416

Animal models

416

Future perspectives and therapy

417

References

417

33 Disorders of Amino Acid Metabolism and Canavan Disease

419

Introduction

419

Phenylketonuria

420

Definition and chemistry

420

Epidemiology and genetics

420

Clinical features

420

Laboratory findings

420

Pathological findings

420

Pathogenesis

421

Treatment

421

Nonketotic hyperglycinemia (glycine encephalopathy)

421

Definition and chemistry

421

Epidemiology and genetics

421

Clinical features

421

Imaging findings

421

Laboratory findings

421

Pathological findings

421

Pathogenesis

422

Treatment

422

Homocystinuria and disorders of sulfur amino acids

422

Definition and chemistry

422

Epidemiology and genetics

423

Clinical features

423

Laboratory findings and diagnosis

423

Pathological findings

423

Pathogenesis

423

Treatment

424

Urea cycle disorders

424

Definition and chemistry

424

Epidemiology and genetics

424

Clinical features

424

Laboratory findings

425

Pathological findings

425

Pathogenesis

425

Treatment

425

Maple syrup urine disease

425

Definition and chemistry

425

Epidemiology and genetics

426

Clinical features

426

Laboratory findings

426

Pathological findings

426

Pathogenesis

426

Treatment

426

Propionic and methylmalonic acidemia

426

Definition and chemistry

426

Epidemiology and genetics

426

Clinical features and imaging

426

Laboratory findings

427

Pathological findings

427

Pathogenesis

428

Treatment

428

Canavan disease (spongy leukodystrophy)

428

Definition

428

Epidemiology and genetics

428

Clinical features, diagnosis, and imaging findings

428

Pathology

428

Pathogenesis

429

Treatment

429

References

429

34 Pelizaeus–Merzbacher Disease

433

Definition

433

Historical annotation

433

Epidemiology, sex distribution

433

Genetics

433

The PLP1 gene

433

Detection and characterization of PLP1 duplications

434

Clinical features including appropriate investigations

435

Clinical features

435

Imaging

435

Laboratory findings

435

Pathology

436

Macroscopy

436

Histopathology

436

Immunohistochemical and ultrastructural findings

436

Biochemistry

437

Differential diagnosis

437

Experimental models

437

Pathogenesis

437

Distinct cellular defects underlie the pathogenesis in each form of PMD

438

Hypomyelinating leukodystrophies

439

Future direction and therapy

440

References

440

35 Cockayne Syndrome

443

Definition, major synonyms and historical perspective

443

Incidence and prevalence

443

Clinical features

444

Clinical presentation

444

Biochemistry

445

Imaging

445

Differential diagnosis

445

Pathology

446

Systemic pathology

446

Neuropathology

446

Genetics

446

Cellular and molecular biology

447

Pathogenesis

449

Animal models

449

Treatment, future perspective, conclusions

450

Treatment

450

Future perspectives

450

Conclusions

450

References

450

36 Vanishing White Matter Disease

453

Definition

453

Synonyms and historical annotations

453

Epidemiology

453

Incidence and prevalence

453

Sex and age distribution

453

Risk factors

453

Genetics

453

Clinical features

454

Signs and symptoms

454

Imaging

454

Laboratory findings

454

Pathologic findings

454

Macroscopy

454

Histopathology, immunohistochemistry and ultrastructure

455

Differential diagnosis

459

Experimental models

460

Pathogenesis

460

Future directions and therapy

460

References

460

37 Alexander Disease

463

Definition

463

Synonyms and historical annotations

463

Epidemiology

463

Embryology

463

Genetics

463

Clinical features

465

Signs and symptoms

465

Imaging

465

Laboratory findings

465

Macroscopy

466

Histopathology

466

Immunohistochemistry and ultrastructural findings

466

Biochemistry

467

Differential diagnosis

467

Experimental models

468

Pathogenesis

468

Future directions and therapy

469

References

469

38 Neuroaxonal Dystrophy/Neurodegeneration with Brain Iron Accumulation

471

Definition

471

Normal embryology

471

Epidemiology

471

Clinical features

471

Pathology

475

Genetics

478

Animal models

481

Treatment, future perspective, conclusions

482

References

482

39 Spinal Muscular Atrophy

485

Definition and classification

485

Epidemiology

485

Genetics

485

Clinical features

486

SMA type 1 (Werdnig–Hoffman disease)

486

SMA type 2

486

SMA type 3 (Kugelberg–Welander disease)

486

Pathology

487

Muscle pathology

487

Macroscopic neuropathology

487

Microscopic neuropathology

487

Differential diagnosis

488

Animal models

488

Pathogenesis

489

Management and future directions

490

Atypical forms of SMA

490

Infantile spinal muscular atrophy with respiratory distress type 1

490

SMA with cerebellar hypoplasia

490

Brown–Vialetto–van Laere syndrome, bulbar hereditary neuropathy type 1

490

Fazio–Londe disease, bulbar hereditary neuropathy type 2

490

References

491

40 Autism Spectrum Disorders

493

Definition, major synonyms and historical perspective

493

Epidemiology

493

Clinical features

493

Epilepsy comorbidity

493

Mitochondrial disease

494

Autoimmune disease and maternal–fetal antibodies

494

In utero infections

494

Microbiome

494

Pathology

495

Neuropathology of idic(15) and undefined ASD

495

Megalencephaly and microcephaly in ASD

496

Cerebral cortex

497

Cerebellum

497

Neurotransmitter systems

497

Microdeletion/microduplication syndromes

502

Single-gene disorders

504

Treatment, future perspective, conclusions

505

References

506

Online resources

511

41 Intrauterine Infections

513

Introduction

513

Cytomegalovirus

513

Definition and synonyms

513

Epidemiology

513

Clinical features

513

Macroscopy

514

Histopathology

514

Differential diagnosis

514

Pathogenesis

514

Future directions and therapy

515

Herpes simplex virus

515

Definition

515

Epidemiology

515

Clinical features

516

Pathology

516

Therapy

516

Toxoplasmosis

516

Definition

516

Epidemiology

516

Clinical features

517

Histopathology

517

Differential diagnosis

517

Pathogenesis

517

Future directions and therapy

517

Rubella

518

Definition and synonyms

518

Epidemiology

518

Clinical features

519

Macroscopy

519

Histopathology

519

Pathogenesis

519

Future directions and therapy

519

Varicella

519

Definition and synonyms

519

Epidemiology

519

Clinical features

520

Pathology

520

Pathogenesis

520

Therapy

520

Human immunodeficiency virus (HIV)

520

Enteroviruses

520

Parvovirus B19

520

Zika virus

520

Syphilis

521

Listeriosis

521

Tuberculosis

521

Other infections

522

Differential diagnosis

522

References

522

42 Perinatal and Postnatal Infections

527

Introduction

527

Definition

527

Historical perspective

527

Background

527

Routes of infection

528

Host factors influencing an infection

528

Bacterial infections

529

Neonatal bacterial meningitis

529

Postnatal bacterial meningitis

529

Intracranial epidural abscess

531

Spinal epidural abscesses

531

Brain abscess

531

Tuberculous meningitis

532

Tuberculoma

533

Epidural spinal tuberculous abscesses

533

Borrelia burgdorfi infection

533

Rickettsia ricketsii infection

533

Viral infections

534

Herpes simplex infections

534

Enteroviral infections

535

HIV infection

536

Cytomegalovirus infection

537

Progressive multifocal leukoencephalopathy

537

Measles infections

537

Progressive rubella panencephalitis

539

Arbovirus infections

539

Rabies infection

540

Varicella zoster virus

540

Ebola virus

540

Post-infectious syndromes

540

CNS mycosis

540

Aspergillus infection

540

Candida albicans infection

540

Coccidioidomycosis, sporotrichosis, blastomycosis, paracoccidioidomycosis infections

541

Parasitic infections

541

Neurocysticercosis

541

Hydatid disease, echinococcosis

541

Schistosomiasis, toxocariasis, trichinosis

542

Malaria

542

Amoebiasis

542

Toxoplasmosis

542

Trypanosomiasis

542

Acknowledgments

543

References

543

43 Rasmussen Encephalitis

547

Definition

547

Synonyms and historical annotations

547

Epidemiology

547

Genetics

547

Clinical features

547

Clinical presentation

547

Imaging

547

Neuropathology

548

Macroscopy

548

Histopathology

548

Immunohistochemical and ultrastructural findings

549

Differential diagnosis

550

Pathogenesis

550

Future directions and therapy

551

References

551

Index

553

EULA

563