Indication

Alexander disease

Alexander disease is a rare, progressive neurodegenerative disorder and primary astrogliopathy characterized by the abnormal accumulation of cytoplasmic protein aggregates known as Rosenthal fibers within astrocytes. Read more about Alexander disease

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About Alexander disease.

Alexander disease is a rare, progressive neurodegenerative disorder and primary astrogliopathy characterized by the abnormal accumulation of cytoplasmic protein aggregates known as Rosenthal fibers within astrocytes.

It predominantly damages the central nervous system white matter and is caused by gain-of-function variants in the *GFAP* gene, leading to defective intermediate filaments and demyelination.

The disease affects patients across the lifespan, classically manifesting in infants and young children with macrocephaly, seizures, spasticity, and severe psychomotor delay.

Later-onset juvenile and adult forms more prominently present with bulbar dysfunction, ataxia, palatal myoclonus, and autonomic deficits stemming from hindbrain involvement.

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