Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case Report

ABSTRACT This case report documents the experience of a 5‐year‐old girl who showed signs of retinal degeneration as the initial symptom of neuronal ceroid lipofuscinosis (NCLs). She originally presented with visual failure, which rapidly progressed to near total bilateral blindness. Two years later,...

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Main Authors: Seyedeh Maryam Hosseini, Reza Nejad Shahrokh Abadi, Meisam Babaei, Fatemeh Eghbal, Narges Hashemi
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.9566
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author Seyedeh Maryam Hosseini
Reza Nejad Shahrokh Abadi
Meisam Babaei
Fatemeh Eghbal
Narges Hashemi
author_facet Seyedeh Maryam Hosseini
Reza Nejad Shahrokh Abadi
Meisam Babaei
Fatemeh Eghbal
Narges Hashemi
author_sort Seyedeh Maryam Hosseini
collection DOAJ
description ABSTRACT This case report documents the experience of a 5‐year‐old girl who showed signs of retinal degeneration as the initial symptom of neuronal ceroid lipofuscinosis (NCLs). She originally presented with visual failure, which rapidly progressed to near total bilateral blindness. Two years later, she developed seizures and cognitive impairment, leading to a diagnosis of NCL7 resulting from a homozygote mutation in the MFSD8 gene. This case underscores the importance of considering NCLs as a potential diagnosis in cases of cone‐rod dystrophy and visual loss as the primary clinical feature. It also emphasizes the early onset and initial presentation of retinal degeneration associated with NCL7, before other signs and symptoms manifest, as the second documented case of its kind. Due to the potential for NCL7 to present initially with visual loss before other hallmark signs, it is crucial to consider it among various syndromic and non‐syndromic disorders in the differential diagnosis.
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spelling doaj-art-96fb80cddf4147ccb142717e2ea14ebb2025-08-20T02:23:34ZengWileyClinical Case Reports2050-09042024-11-011211n/an/a10.1002/ccr3.9566Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case ReportSeyedeh Maryam Hosseini0Reza Nejad Shahrokh Abadi1Meisam Babaei2Fatemeh Eghbal3Narges Hashemi4Eye Research Center Mashhad University of Medical Sciences Mashhad IranFaculty of Medicine Mashhad University of Medical Sciences Mashhad IranDepartment of Pediatrics North Khorasan University of Medical Sciences Bojnurd IranNext Generation Genetic Polyclinic Mashhad IranDepartment of Pediatrics School of Medicine Mashhad University of Medical Sciences Mashhad IranABSTRACT This case report documents the experience of a 5‐year‐old girl who showed signs of retinal degeneration as the initial symptom of neuronal ceroid lipofuscinosis (NCLs). She originally presented with visual failure, which rapidly progressed to near total bilateral blindness. Two years later, she developed seizures and cognitive impairment, leading to a diagnosis of NCL7 resulting from a homozygote mutation in the MFSD8 gene. This case underscores the importance of considering NCLs as a potential diagnosis in cases of cone‐rod dystrophy and visual loss as the primary clinical feature. It also emphasizes the early onset and initial presentation of retinal degeneration associated with NCL7, before other signs and symptoms manifest, as the second documented case of its kind. Due to the potential for NCL7 to present initially with visual loss before other hallmark signs, it is crucial to consider it among various syndromic and non‐syndromic disorders in the differential diagnosis.https://doi.org/10.1002/ccr3.9566cone‐rod dystrophyNCLneurodegenerationpediatric ophthalmologyretinal degeneration
spellingShingle Seyedeh Maryam Hosseini
Reza Nejad Shahrokh Abadi
Meisam Babaei
Fatemeh Eghbal
Narges Hashemi
Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case Report
Clinical Case Reports
cone‐rod dystrophy
NCL
neurodegeneration
pediatric ophthalmology
retinal degeneration
title Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case Report
title_full Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case Report
title_fullStr Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case Report
title_full_unstemmed Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case Report
title_short Cone‐Rod Dystrophy and Progressive Visual Loss as the First Manifestation of Neuronal Ceroid Lipofuscinosis Type 7: A Case Report
title_sort cone rod dystrophy and progressive visual loss as the first manifestation of neuronal ceroid lipofuscinosis type 7 a case report
topic cone‐rod dystrophy
NCL
neurodegeneration
pediatric ophthalmology
retinal degeneration
url https://doi.org/10.1002/ccr3.9566
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