Adult α-mannosidosis -: Clinical progression in the absence of demyelination

被引:27
作者
Gutschalk, A
Harting, I
Cantz, M
Springer, C
Rohrschneider, K
Meinck, HM
机构
[1] Univ Heidelberg, Dept Neurol, D-6900 Heidelberg, Germany
[2] Univ Heidelberg, Dept Neuroradiol, D-6900 Heidelberg, Germany
[3] Univ Heidelberg, Dept Pathol, D-6900 Heidelberg, Germany
[4] Univ Heidelberg, Dept Ophthalmol, D-6900 Heidelberg, Germany
关键词
D O I
10.1212/01.WNL.0000143057.25471.4F
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
alpha-Mannosidosis is an inherited lysosomal storage disease. The authors report three siblings ( ages 38 to 47 years) with the rare adult variant. All three had late-onset ataxia and retinal degeneration, adding to hearing loss, cognitive impairment, and dysotosis multiplex. One sibling also had psychosis. MRI revealed cerebellar atrophy and predominantly parieto-occipital white matter changes. MR spectroscopy showed no evidence for demyelination. It appears that the disabling course of adult alpha-mannosidosis is caused by lysosomal accumulation rather than demyelination.
引用
收藏
页码:1744 / 1746
页数:3
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