Adrenoleucodystrophy is a rare, genetic demyelinating disorder. Early onset of disease have rapid progression and worse prognosis. It may be associated with adrenal insufficiency. Not much treatment option as though rehabilitation is mainstream of management till death to reduce disability. We report the case of a 10-year-old boy with progressive weakness of all four limb and speech, swallowing difficulty, whose computerized tomography (CT) and Magnetic resonance imaging (MRI) scans showed unusually florid bilateral abnormalities. MRI showed hyperintensities on parieto-occipital lobe through corpus callosum and some biochemical imbalance on serum. The child was diagnosed as a case of Adrenoleukodystrophy and was presented in a clinical meeting for further managements including medical rehab. As this is a very rare case, it was a challenge to handle such type of patient with a course of combined rehabilitation program and discharged home. Bangladesh Med J. 2019 May; 48 (2): 48-50
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder of motor neurons and their axons characterized by signs of upper and lower motor neuron dysfunction. ALS has been associated with exposures in so called electrical occupation. We have found two young patient who developed features of MND following electrocution within 1 year. Due to this great diversity of possible causing agents for ALS, new researches are necessary to elucidate possible etiologies for a better approach to the patients, promoting preventive programs for the disease, optimizing functions and improving the life quality of the patients. A number of studies have demonstrated cognitive performance deficits following electric injury observed cognitive symptoms and neurobehavioral defecit. As treatment approach rehabilitation is important part of treatment as pharmacological part didn't prove strong recovery. As MND causes high level of disability and dependency on caregiver causes gap in rehabilitation due to psychological issue. Neuropalliative rehabilitation is more important in these patient which is unavailable in our country. KYAMC Journal Vol. 11, No.-4, January 2021, Page 218-221
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