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Fibrinoid Leukodystrophy (Fibrinoid Encephalomyelopathy/Alexander Disease/Rosenthal Fiber Myelopathy)
  • Description
  • Signalment
  • Clinical Features
  • Neurolocalization
  • Genetics
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An extremely rare primary degeneration of nervous elements with a range of clinical signs and disease patterns.
Age of Onset: 3-6 months of age
Sex Predisposition: Any sex of animal can be affected ​
Clinical Course:
Clinical signs may worsen over time​
Clinical Signs:
Behavioral/Mental Awareness  
Alterations in personality or behavior
Mild drowsiness
​
Posture and Appearance  
Tremor
Head tilt
Opisthotonos

Movement 
Ataxia
Incoordination
Drifting to the side
Wide excursions of the head

Proprioception  
Knuckling on all limbs
Slow postural reflexes

Cranial Nerves
Reduced menace response
Nystagmus

​
The classic histologic lesion consists of so-called Rosenthal fibers distributed around the vessels in the white matter, subpial, and subependymal areas.
Suspected autosomal dominant mutation in canine orthologue of glial fibrillary acidic protein (GFAP) gene

For breed specific genetic testing, follow the link below:
https://www.wisdompanel.com/en-us/dog-health-conditions/alexander-disease#:~:text=This%20disease%20is%20autosomal%20recessive,different%20genetic%20or%20clinical%20cause.
To read more about this disease click below:
References
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