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Alchaki, Abdul Rahman

Mayo Clinic

Houston Methodist

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A 43-year-old female with personality changes and alien limb
Zahid, Anza , Alchaki, Abdul Rahman, Wszołek, Zbigniew K.

Oxford Medical Case Reports | May 28, 2025 | Volume: 2025 | Issue: 5 | Pages: No page available

10.1093/omcr/omaf038 Get It

Abstract Colony stimulating factor-1 receptor (CSF1R) encodes for a tyrosine kinase receptor expressed on microglia. CSF1R related disorder is a devastating autosomal dominant leukoencephalopathy caused by CSF1R with variable penetrance in adults. It remains significantly underdiagnosed or misdiagnosed. We report a case of a 43-year-old woman with an insidious onset of neurocognitive decline, alien limb phenomenon, and personality changes over 1 year. In this report we will discuss the clinical approach, differential diagnosis, investigation, and available treatment options for CSF1R related disorder.