Pontobulbar Palsy and Neurosensory Deafness (Brown-Vialetto-van Laere Syndrome) With Hyperintense Brainstem Nuclei on Magnetic Resonance Imaging: New Finding in Three Siblings

Author:

Koul Roshan1,Jain Rajeev2,Chacko Alexander1,Alfutaisi Amna1,Hashim Javad3,Chacko Jacob4

Affiliation:

1. Division of Paediatric Neurology, Sultan Qaboos University Hospital Al-Khod, Sultanate of Oman

2. Department of Radiology, Sultan Qaboos University Hospital Al-Khod, Sultanate of Oman

3. Department of Child Health, Sultan Qaboos University Hospital Al-Khod, Sultanate of Oman

4. Department of Medicine Sultan Qaboos University Hospital Al-Khod, Sultanate of Oman

Abstract

Three siblings (one boy and two girls) with Brown-Vialetto-van Laere syndrome are reported. A peculiar feature of onset with hearing loss in a patient with multiple cranial nerve palsies and a positive family history suggests this diagnosis. In our family, an autosomal recessive mode of inheritance was seen. In addition, we observed that early onset was associated with rapid deterioration and death. Optic nerve involvement and hyperintensity of the brainstem nuclei on magnetic resonance imaging (MRI) are two newfeaturesdescribedin this report.( J Child Neurol 2006;21:523—525; DOI 10.2310/7010.2006.00096).

Publisher

SAGE Publications

Subject

Clinical Neurology,Pediatrics, Perinatology, and Child Health

Reference11 articles.

1. Brown-Vialetto-Van Laere syndrome in a large inbred Lebanese family: Confirmation of autosomal recessive inheritance?

2. Pontobulbar palsy and neurosensory deafness (Brown-Vialetto-Van Laere syndrome) with possible autosomal dominant inheritance.

3. Fenichel GM: Lower bainstem and cranial nerves dysfunction, in Fenichel GM (ed): Clinical Pediatric Neurology. A Signs and Symptoms Approach, 4th ed. Philadelphia, PA, WB Saunders Company, 2001, 331—351.

4. Swaiman KP, Ashwal S.: Anterior horn cell and cranial motor nerve disease, in Swaiman KP, Ashwal S (eds): Pediatric Neurology, Principles and Practice, 3rd ed. St. Louis, MO, Mosby, 1999, 1162—1177.

5. Infantile progressive bulbar palsy with deafness

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