Pelizaeus–Merzbacher disease (PMD): management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Pelizaeus–Merzbacher disease (PMD): management. Hypomyelination pattern. Fully referenced neurology checklist.

Magnetic resonance imaging (MRI) brain: features

  • Hypomyelination pattern
  • Diffuse or patchy tigroid T2 hyperintensity pattern
  • Diffuse, confluent changes: in the connatal form
  • Cerebral atrophy

Other investigations

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Investigational treatment

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References

  1. Mittal A, Maini B, Sharma PD, Aggarwal A. Pelizaeus-Merzbacher disease in siblings. J Pediatr Neurosci 2010; 5:167-169.
  2. Di Rocco M, Biancheri R, Rossi A, Filocamo M, Tortori-Donati P. Genetic disorders affecting white matter in the pediatric age. Am J Med Genet B Neuropsychiatr Genet 2004; 129B:85-93. 
  3. Stumpf SK, Berghoff SA, Trevisiol A, et al. Ketogenic diet ameliorates axonal defects and promotes myelination in Pelizaeus-Merzbacher disease. Acta Neuropathol 2019; 138:147-161.

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