Abstract
Progressive cerebellar and extrapyramidal motor disturbances are described in two 16-year-old female twins with classical galctosaemia. The neurological disturbances, characterized by hyper- and dysmetric movements and bilateral intention tremor with choreatic, atactic and even ballistic motor storms, appeared at 12 years of age. Computerized tomography demonstrates cerebral atrophy in cerebellar, brain stem and basal ganglia structures. The central conduction times, determined by somatosensible evoked potentials, are grossly prolonged; the peripheral nerve conduction velocities are normal. The neurological sequelae described are considered a distinct entity in the course of galactosaemia.
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Cracco JB, Bosch VV, Cracco RQ (1980) Cerebral and spinal somatosensory evoked potentials in children with CNS degenerative disease. Electroencephalogr Clin Neurophysiol 49:437–445
Crome L (1962) The association of phenylketonuria with leukodystrophy. J Neurol Neurosurg Psychiatry 25:149–153
Donnell GN, Collado M, Koch R (1961) Growth and development of children with galactosemia. J Pediatr 58:836–839
Gitzelmann R, Hansen RG (1974) Galactose biogenesis and disposal in galactosemics. Biochim Biophys Acta 372:374–378
Gitzelmann R, Steinmann B (1984) Galactosemia: How does long-term treatment change the outcome? Enzyme 32:37–46
Haberland C, Perou M, Brunngraber EG, Hof H (1971) The neuropathology of galactosemia. A histopathological and biochemical study. J Neuropath Exp Neurol 30:431–447
Huttenlocher PR, Hillman RE, Hsia YE (1970) Pseudotumor cerebri in galactosemia. J Pediatr 76:902–906
Jan JE, Wilson RA (1973) Unusual late neurological sequelae in galactosemia. Dev Med Child Neurol 15:72–76
Kaufman FR, Kogut MD, Donnell GN, Goebelsmann U, March C, Koch R (1981) Hypergonadotropic hypogonadism in female patients with galactosemia. N Engl J Med 304:994–998
Komrower GM, Lee DN (1970) Long-term follow-up of galactosemia. Arch Dis Child 45:367–369
Lo W, Packman S, Nash S, Schmidt K, Ireland S, Diamond I, NG W, Donell G (1984) Curious neurologic sequelae in galactosemia. Pediatrics 73:309–312
Lütschg J (1984) Pathophysiological aspects of central and peripheral myelin lesions. Neuropediatrics 15 [Suppl]:24–27
Maurer K (1982) Akustisch evozierte Potentiale: Methode und klinische Anwendung. Neuropädiatrische Anwendung, Enke-Verlag, Stuttgart, pp 187–194
Schwarz HP, Schaefer T, Bachmann C (1985) Galactose and galactitol in the urine of children with compound heterozygoty for Duarte variant and classical galactosemia (GtD/gt) after an oral galactose load. Clin Chem 31:420–422
Shin YS, Rieth M, Hoyer S, Endres W, Böhles H, Jakobs C (1985) Uridine diphosphogalactose, galactose-1-phosphate and Galactitol concentration in patients with classical galactosemia. Society for the Study of Inborn Errors of Metabolism Liverpool, September 1985 (Abstract)
Steinmann B, Gitzelmann R, Zachmann M (1981) Hypogonadism and galactosemia. N Engl J Med 205:464–465
Waisbren SE, Norman TR, Schnell RR, Levy HL (1983) Speech and language deficits in early-treated children with galactosemia. J Pediatr 102:75–77
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Böhles, H., Wenzel, D. & Shin, Y.S. Progressive cerebellar and extrapyramidal motor disturbances in galactosaemic twins. Eur J Pediatr 145, 413–417 (1986). https://doi.org/10.1007/BF00439251
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DOI: https://doi.org/10.1007/BF00439251