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pooneh tabibi

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1 INTRODUCTIONAicardi-Goutières syndrome (AGS) is a rare and complex neuroinflammatory disorder characterized by severe neurological problems, skin manifestations, and potential overlap with autoimmune disorders (1). Although most individuals with AGS exhibit profound intellectual disability, it is intriguing to encounter exceptional abilities amidst such challenges (2, 3). In this case report, we present a remarkable and rare instance of AGS, where our patient demonstrates an extraordinary talent in painting and visualizing objects with extraordinary precision and attention to detail (Figure 1). AGS is typically associated with a progressive and debilitating course, leading to significant neurodevelopmental regression and lifelong disabilities (3). Common clinical features include intermittent fever, skin manifestations such as chilblains and ulcers, muscular abnormalities, and elevated levels of interferon-alpha in the cerebrospinal fluid (1, 4). However, the presence of exceptional talents within the context of AGS presents a unique opportunity to explore the multifaceted nature of cognitive abilities in this syndrome (3). This case report aims to shed light on the clinical manifestations of AGS while emphasizing the exceptional artistic talent observed in our patient. By documenting and sharing this remarkable ability, we seek to contribute to a deeper understanding of the cognitive heterogeneity within AGS and inspire further research in this domain. Furthermore, this case underscores the importance of considering AGS in individuals presenting with the described clinical features and highlights the need for comprehensive evaluation, multidisciplinary approaches, and ongoing research to optimize management and support for affected individuals. This report serves as a reminder of the potential for hidden talents and strengths, even in the face of significant neurological challenges, and underscores the importance of embracing the unique abilities of individuals with AGS for a more comprehensive understanding of this rare syndrome.