Effective Therapy For Leukodystrophies

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question
Any effective therapy for leukodystrophy? Except for Lorenzo's oil (in select cases). How to control seizures in them? Most importantly how to approach, manage and prognosticate such kids? This site does not have single search result on it?
Answer
There are various types of leukodystrophies namely: The Leukodystrophies (in alphabetical order) The known leukodystrophies are listed below. 18q Syndrome with deficiency of myelin basic protein Acute disseminated encephalomyeolitis (ADEM) Acute Disseminated Leukoencephalitis Acute Hemorrhagic Leukoencephalopathy Adrenoleukodystrophy (ALD) Adrenomyeloneuropathy (AMN) Aicardi-Goutieres Syndrome Alexander Disease Adult-onset Autosomal Dominant Leukodystrophy (ADLD) Autosomal Dominant Diffure Leukoencephalopathy with neuroaxonal spheroids Autosomal Dominant late-onset leukoencephalopathy Childhood Ataxia with diffuse CNS Hypomyelination (CACH or Vanishing White Matter Disease) Canavan Disease Cerebral Autosomal Dominant Arteropathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) Cerebrtendinous Xanthomatosis (CTX) Craniometaphysical dysplasia with leukoencephalopathy Extensive Cerebral White Matter abnormality without clinical symptoms Familial adult-onset leukodystrophy manifesting as cerebellar ataxia and dementia Familial leukodystrophy with adult onset dementia and abnormal glycolipid storage Globoid Cell Leukodystrophy (Krabbe Disease) Hereditary adult onset leukodystrophy simulating chronic progressive multiple sclerosis Lipomembranous osteodysplasia with leukodystrophy (Nasu Disease) Metachromatic Leukodystrophy (MLD) Megalencephalic leukodystrophy with subcortical cysts (MLC) Neuroaxonal leukoencephalopathy with axonal spheroids Oculodetatoldigital Dysplasia with cerebral white matter abnormalities Orthochormatic leukodystrophy with pigmented glia Ovarioleukodystrophy Syndrome Pelizaeus Merzbacher Disease (X-linked spastic paraplegia) Refsum Disease Sjogren-Larssen Syndrome Sudanophilic Leukodystrophy Van der Knaap Syndrome (Vacuolating Leukodystrophy with Subcortical Cysts or MLC) Vanishing White Matter Disease (Childhood ataxia with diffuse central nervous system hypomyelination, or CACH) X-linked Adrenoleukodystrophy (X-ALD) Zellweger Spectrum: Zellweger Syndrome, Neonatal Adrenoleukodystrophy, and Infantile Refsum Disease Management is supportive. BMT may be useful in X-linked adrenoleukodystrophy, metachromatic leukodystrophy. Back to All Questions

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

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