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Alexander Disease

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NORD is very grateful to Michael Brenner, PhD, University of Alabama at Birmingham, for assistance in the preparation of this report.

Synonyms of Alexander Disease
  • Dysmyelogenic Leukodystrophy
  • Dysmyelogenic Leukodystrophy-Megalobare
  • Fibrinoid Degeneration of Astrocytes
  • Fibrinoid Leukodystrophy
  • Hyaline Panneuropathy
  • Leukodystrophy with Rosenthal Fibers
  • Megalencephaly with Hyaline Inclusion
  • Megalencephaly with Hyaline Panneuropathy

Disorder Subdivisions



General Discussion
Alexander disease is named after the physician who first described the condition in 1949 (WS Alexander). It is an extremely rare, progressive, neurological disorder that most often presents during infancy or early childhood, but can also occur as late as the sixth decade of life. Alexander disease has historically been included among the leukodystrophies--diseases of the white matter of the brain. These diseases affect the fatty material (myelin) that forms an insulating wrapping (sheath) around certain nerve fibers (axons). Myelin enables the efficient transmission of nerve impulses and provides the "whitish" appearance of the so-called white matter of the brain. There is a marked deficit in myelin formation in most infantile cases of Alexander disease, and sometimes in juvenile cases, particularly in the front (frontal lobes) of the brain's two hemispheres (cerebrum). However, white matter defects are sometimes not observed in later onset cases. Instead, the unifying feature among all Alexander disease cases is the presence of abnormal protein aggregates known as "Rosenthal fibers" throughout certain regions of the brain and spinal cord (central nervous system [CNS]). These aggregates occur in astrocytes, a particular cell type in the CNS that helps maintain a normal CNS environment. Accordingly, it is more appropriate to consider Alexander disease a disease of astrocytes (an astrogliopathy) than a white matter disease (leukodystrophy).
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Organizations related to Alexander Disease
  • Arc
    1660 L Street, NW, Suite 301
    Washington DC 20036
    Phone #: 202-534-3700
    800 #: 800-433-5255
    e-mail: info@thearc.org
    Home page: http://www.thearc.org
  • Children's Brain Diseases Foundation
    Parnassus Heights Medical Building
    350 Parnassus Avenue, Suite 900
    San Francisco CA 94117
    Phone #: 415-665-3003
    800 #: --
    e-mail: jrider6022@aol.com
    Home page: N/A
  • ELA - European Association against Leukodystrophies
    2, rue Mi-les-Vignes
    54521
    Laxou Cedex None 61024
    Phone #: 33 -383- 30 93 34
    800 #: --
    e-mail: ela@ela-asso.com
    Home page: http://www.ela-asso.com
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-251-4925
    800 #: 888-205-2311
    e-mail: http://rarediseases.info.nih.gov/GARD/EmailForm.aspx
    Home page: http://rarediseases.info.nih.gov/GARD
  • Hunter's Hope Foundation, Inc.
    PO Box 643
    6368 West Quaker Street
    Orchard Park NY 14127
    Phone #: 716-667-1200
    800 #: 877-984-4673
    e-mail: info@huntershope.org
    Home page: http://www.huntershope.org
  • Let Them Hear Foundation
    1900 University Avenue, Suite 101
    East Palo Alto CA 94303
    Phone #: 650-462-3143
    800 #: 877-735-2929
    e-mail: info@letthemhear.org
    Home page: http://www.letthemhear.org
  • MUMS National Parent-to-Parent Network
    150 Custer Court
    Green Bay WI 54301-1243
    Phone #: 920-336-5333
    800 #: 877-336-5333
    e-mail: mums@netnet.net
    Home page: http://www.netnet.net/mums/
  • Madisons Foundation
    PO Box 241956
    Los Angeles CA 90024
    Phone #: 310-264-0826
    800 #: N/A
    e-mail: getinfo@madisonsfoundation.org
    Home page: http://www.madisonsfoundation.org
  • March of Dimes Birth Defects Foundation
    1275 Mamaroneck Avenue
    White Plains NY 10605
    Phone #: 914-997-4488
    800 #: 888-663-4637
    e-mail: Askus@marchofdimes.com
    Home page: http://www.marchofdimes.com
  • National Institute of Neurological Disorders and Stroke (NINDS)
    P.O. Box 5801
    Bethesda MD 20824
    Phone #: 301-496-5751
    800 #: 800-352-9424
    e-mail: me20t@nih.gov
    Home page: http://www.ninds.nih.gov/
  • United Leukodystrophy Foundation
    2304 Highland Drive
    Sycamore IL 60178
    Phone #: N/A
    800 #: 800-728-5483
    e-mail: office@ulf.org
    Home page: http://www.ulf.org/

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Last modified Wednesday, November 26, 2008