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- Metachromatic Leukodystrophy
- Developmental regression
- degenerative brain disease
- stripe sign
- Arylsulfatase A
A three-and-half-year-old child presented with speech delay and recent onset falls. He walked at 14 months of age but speech was delayed with limited vocabulary.
He had become increasingly unsteady with weakness and pain in his legs in the past 6 months. The lower limb examination revealed no muscle wasting but hypertonia, hyper-reflexia, extensor plantar response and 4-beat ankle clonus bilaterally. He had bilateral foot-drop gait. The rest of the …
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