RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164074545 T1 Juvenile Sulfatidosis Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164074545 RD 2024/04/16 AB It is a very rare inborn error of metabolism combining the characteristics of metachromatic leukodystrophy and mucopolysaccharidosis. Lysosomal storage disease results from a lack of conversion (most likely in the endoplasmic reticulum) of cysteine into formylglycine. It is characterized by muscle weakness with spasticity, poor swallowing, recurrent pulmonary aspiration, and quadriplegia. Blindness and seizures due to hydrocephalus develop, eventually leading to death by the second decade of life. Aortic insufficiency and cervical cord compression have been reported.