AN UNUSUAL PRESENTATION IN A PATIENT WITH METACHROMATIC LEUKODYSTROPHY

A 2-year-old child was admitted with bilateral bronchopneumonia. Durin g convalescence he sustained sudden respiratory arrest for which he re quired ventilatory support. He had undergone cholecystectomy 1 month p rior to the above episode. The pathological examination of the gall bl adder mass had revealed the features of metachromatic leukodystrophy. Gastro-oesophageal reflux, which is associated with this neurological disorder, was suspected to be the cause of this sudden respiratory arr est and its presence was confirmed by barium swallow examination.