Canavan disease

Canavan disease is an inherited disorder of aspartic acid metabolism that is characterized by degeneration of the white matter of the brain .

Alternative Names

Spongy degeneration of the brain; Aspartoacylase deficiency

Causes, incidence, and risk factors

Canavan disease is inherited as an autosomal recessive trait and has a higher incidence among Ashkenazi Jews than the general population. A deficient enzyme , aspartoacylase, results in the accumulation of N-acetylaspartic acid in the brain and subsequent degeneration of the white matter. Typical cases have onset of symptoms in the first year of life with loss of developmental milestones and death before 18 months of age.

Signs and tests

  • Hyperreflexive
  • Joint stiffness
  • Optic atrophy
  • Tests:
  • Head CT
  • showing degeneration of white matter (leukodystrophy)
  • Head MRI scan
  • showing degeneration of white matter (leukodystrophy)
  • Urine chemistry
  • , increased N-acetylaspartic acid (increased secretion)
  • CSF chemistry
  • , increased N-acetylaspartic acid (increased levels)
  • Blood chemistry, increased N-acetylaspartic acid (increased levels)
  • Genetic testing for aspartoacylase gene mutations
  • Treatment

    Treatment aims to ease the symptoms of the disease. There is no specific treatment.

    Support groups

    Canavan Foundation, Inc. 877-4-CANAVAN; www.canavanfoundation.org

    Expectations (prognosis)

    With Canavan disease, the central nervous system degenerates, and progressive disability is likely. Death usually occurs in the first 1 to 2 decades of life.

    Complications

    This is often a fatal disorder and includes severe disabilities such as mental retardation, blindness, and inability to walk.

    Calling your health care provider

    Call your health care provider if your child has any symptoms of Canavan disease.

    Prevention

    Genetic counseling is recommended for prospective parents with a family history of Canavan disease. The carrier state for Canavan disease can be diagnosed by enzyme analysis of skin fibroblasts. Prenatal diagnosis is possible.

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