Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières Syndrome

ABSTRACT Aicardi–Goutières syndrome (AGS) is a rare neuroinflammatory disorder characterized by severe neurological problems and potential overlap with autoimmune disorders. While profound intellectual disability is typically associated with AGS, there have been exceptional cases where individuals e...

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Main Authors: Pooneh Tabibi, Reza Shiari, Samin Sharafian, Sara Shiari
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.70530
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author Pooneh Tabibi
Reza Shiari
Samin Sharafian
Sara Shiari
author_facet Pooneh Tabibi
Reza Shiari
Samin Sharafian
Sara Shiari
author_sort Pooneh Tabibi
collection DOAJ
description ABSTRACT Aicardi–Goutières syndrome (AGS) is a rare neuroinflammatory disorder characterized by severe neurological problems and potential overlap with autoimmune disorders. While profound intellectual disability is typically associated with AGS, there have been exceptional cases where individuals exhibit extraordinary talents amidst their neurological impairments. We present a unique and compelling case of a patient diagnosed with AGS who demonstrates remarkable artistic abilities. Despite profound cognitive impairment, the patient exhibits exceptional talent in painting and visualizing objects with extraordinary precision and attention to detail. Unlike most AGS patients, this individual exhibited fewer neurological symptoms and less severe neurodevelopmental impairments. Instead, our patient presented with prominent symptoms of immunodeficiency and exacerbated immune responses. Genetic analysis revealed a specific gene mutation as the underlying cause, contributing to this distinct clinical presentation. Detailed clinical assessments, including neurological evaluations, cognitive testing, and genetic study, were conducted to confirm the diagnosis of AGS and explore the extent of the patient's artistic abilities. This remarkable case of a patient with Aicardi–Goutières syndrome (AGS) challenges our understanding of the cognitive abilities within the syndrome. Despite profound cognitive impairment, the patient exhibits exceptional artistic talents, highlighting the presence of unconventional skills amidst neurological impairments. The coexistence of immunodeficiency and exacerbated immune responses in this case further underscores the heterogeneity of AGS and its potential overlap with autoimmune disorders. By documenting and sharing this unique case, we contribute to a deeper understanding of AGS and inspire further research into the interplay between neurodevelopmental disorders and artistic expression. Recognizing and nurturing unconventional talents in individuals with AGS can inform personalized approaches to management and support, leading to improved quality of life and a broader appreciation of the diverse cognitive profiles within this syndrome. Future studies investigating the genetic basis of AGS are crucial for accurate diagnosis, personalized management, and advancing therapeutic interventions.
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spelling doaj-art-73bb1ae28a3d4847891921b3bc97c1c72025-08-20T03:12:19ZengWileyClinical Case Reports2050-09042025-05-01135n/an/a10.1002/ccr3.70530Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières SyndromePooneh Tabibi0Reza Shiari1Samin Sharafian2Sara Shiari3Department of Pediatrics Imam Ali Hospital, Alborz University of Medical Sciences Karaj IranMofid Children's Hospital Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Allergy and Clinical Immunology Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Medical Sciences Masih Daneshvari's Hospital, Shahid Beheshti University of Medical Sciences Tehran IranABSTRACT Aicardi–Goutières syndrome (AGS) is a rare neuroinflammatory disorder characterized by severe neurological problems and potential overlap with autoimmune disorders. While profound intellectual disability is typically associated with AGS, there have been exceptional cases where individuals exhibit extraordinary talents amidst their neurological impairments. We present a unique and compelling case of a patient diagnosed with AGS who demonstrates remarkable artistic abilities. Despite profound cognitive impairment, the patient exhibits exceptional talent in painting and visualizing objects with extraordinary precision and attention to detail. Unlike most AGS patients, this individual exhibited fewer neurological symptoms and less severe neurodevelopmental impairments. Instead, our patient presented with prominent symptoms of immunodeficiency and exacerbated immune responses. Genetic analysis revealed a specific gene mutation as the underlying cause, contributing to this distinct clinical presentation. Detailed clinical assessments, including neurological evaluations, cognitive testing, and genetic study, were conducted to confirm the diagnosis of AGS and explore the extent of the patient's artistic abilities. This remarkable case of a patient with Aicardi–Goutières syndrome (AGS) challenges our understanding of the cognitive abilities within the syndrome. Despite profound cognitive impairment, the patient exhibits exceptional artistic talents, highlighting the presence of unconventional skills amidst neurological impairments. The coexistence of immunodeficiency and exacerbated immune responses in this case further underscores the heterogeneity of AGS and its potential overlap with autoimmune disorders. By documenting and sharing this unique case, we contribute to a deeper understanding of AGS and inspire further research into the interplay between neurodevelopmental disorders and artistic expression. Recognizing and nurturing unconventional talents in individuals with AGS can inform personalized approaches to management and support, leading to improved quality of life and a broader appreciation of the diverse cognitive profiles within this syndrome. Future studies investigating the genetic basis of AGS are crucial for accurate diagnosis, personalized management, and advancing therapeutic interventions.https://doi.org/10.1002/ccr3.70530Aicardi–Goutières syndrome (AGS)cognitive heterogeneityneurological abnormalitiesskin lesionsTREX1 geneunconventional abilities
spellingShingle Pooneh Tabibi
Reza Shiari
Samin Sharafian
Sara Shiari
Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières Syndrome
Clinical Case Reports
Aicardi–Goutières syndrome (AGS)
cognitive heterogeneity
neurological abnormalities
skin lesions
TREX1 gene
unconventional abilities
title Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières Syndrome
title_full Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières Syndrome
title_fullStr Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières Syndrome
title_full_unstemmed Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières Syndrome
title_short Talents Amidst Neurological Impairment; an Interesting Case of Aicardi–Goutières Syndrome
title_sort talents amidst neurological impairment an interesting case of aicardi goutieres syndrome
topic Aicardi–Goutières syndrome (AGS)
cognitive heterogeneity
neurological abnormalities
skin lesions
TREX1 gene
unconventional abilities
url https://doi.org/10.1002/ccr3.70530
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