Amygdalae and striatum calcification in lipoid proteinosis

AJNR Am J Neuroradiol. 2010 Jan;31(1):88-90. doi: 10.3174/ajnr.A1699. Epub 2009 Aug 20.

Abstract

Lipoid proteinosis is a rare genodermatosis characterized by multisystem involvement due to intracellular deposition of an amorphous hyaline material. Lipoid proteinosis is caused by mutations in the ECM1 gene. In many patients, skin and mucosa abnormalities are the first manifestation. When the CNS is affected, a wide variety of neurologic abnormalities may be present. The hallmark findings are calcifications, mostly occurring in the amygdalae, hippocampus, parahippocampal gyrus, or even the striatum. Present in half of the patients, moniliform blepharosis is considered a pathognomonic finding. In the other half of patients imaging could assist in the diagnosis. The authors present a series of 3 cases of lipoid proteinosis with brief clinical data and imaging findings.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Amygdala*
  • Brain Diseases / etiology*
  • Calcinosis / etiology*
  • Corpus Striatum*
  • Female
  • Humans
  • Lipoid Proteinosis of Urbach and Wiethe / complications*
  • Male
  • Middle Aged