Neuropsychiatric aspects of the adult variant of Tay-Sachs disease

被引:49
作者
MacQueen, GM [1 ]
Rosebush, PI [1 ]
Mazurek, MF [1 ]
机构
[1] McMaster Univ, Dept Psychiat, Ctr Med, Div Neurol & Biomed Sci, Hamilton, ON L8N 3Z5, Canada
关键词
D O I
10.1176/jnp.10.1.10
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Tay-Sachs disease (a G(M2) gangliosidosis) is an inherited neuronal storage disease that can affect individuals across the age spectrum. Psychosis is reported in 30% to 50% of adult-onset patients, and many are misdiagnosed with schizophrenia. Mood disorders are present in more than 25% and cognitive impairment in more than 20%. Treatment of psychosis with neuroleptics may not have a favorable risk/benefit ratio, but treatment with benzodiazepines or electroconvulsive therapy may be efficacious. Metabolic diseases such as gangliosidosis are probably under-recognized as causes of neuropsychiatric illness. Increased awareness of these disorders will lead to accurate diagnosis, appropriate treatment selection, and genetic counseling.
引用
收藏
页码:10 / 19
页数:10
相关论文
共 78 条
[1]  
ADAMS RD, 1993, PRINCIPLES NEUROLOGY, P799
[2]  
ANDO S, 1983, NEUROCHEM INT, V5, P507, DOI 10.1016/0197-0186(83)90043-8
[3]   METACHROMATIC LEUKODYSTROPHY (MLD) .8. MLD IN ADULTS - DIAGNOSIS AND PATHOGENESIS [J].
AUSTIN, J ;
ARMSTRON.D ;
FOUCH, S ;
MITCHELL, C ;
STUMPF, D ;
SHEARER, L ;
BRINER, O .
ARCHIVES OF NEUROLOGY, 1968, 18 (03) :225-&
[4]   LYSOSOMAL-ENZYMES IN ATAXIA - DISCOVERY OF 2 NEW CASES OF LATE ONSET HEXOSAMINIDASE-A AND HEXOSAMINIDASE-B DEFICIENCY (ADULT SANDHOFF DISEASE) IN FRENCH CANADIANS [J].
BARBEAU, A ;
PLASSE, L ;
CLOUTIER, T ;
PARIS, S ;
ROY, M .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1984, 11 (04) :601-606
[5]  
BERGINER VM, 1988, AM J PSYCHIAT, V145, P354
[6]  
Berkovic S F, 1988, Am J Med Genet Suppl, V5, P105
[7]   KUFS DISEASE - A CRITICAL REAPPRAISAL [J].
BERKOVIC, SF ;
CARPENTER, S ;
ANDERMANN, F ;
ANDERMANN, E ;
WOLFE, LS .
BRAIN, 1988, 111 :27-62
[8]   ADULT METACHROMATIC LEUKODYSTROPHY (SULPHATIDE LIPIDOSIS) SIMULATING ACUTE SCHIZOPHRENIA - REPORT OF A CASE [J].
BETTS, TA ;
SMITH, WT ;
KELLY, RE .
NEUROLOGY, 1968, 18 (11) :1140-&
[9]   THE DIAGNOSIS OF CHILDHOOD NEURODEGENERATIVE DISORDERS PRESENTING AS DEMENTIA IN ADULTS [J].
COKER, SB .
NEUROLOGY, 1991, 41 (06) :794-798
[10]   BIOCHEMICAL BASIS OF LATE-ONSET NEUROLIPIDOSES [J].
CONZELMANN, E ;
SANDHOFF, K .
DEVELOPMENTAL NEUROSCIENCE, 1991, 13 (4-5) :197-204