BIOPSY DIAGNOSIS OF A CASE OF ADULT ONSET ORTHOCHROMATIC LEUKODYSTROPHY - CLINICAL AND BRAIN BIOPSY FINDINGS

被引:7
作者
CALANDRIELLO, L
MATTEUCCI, C
BERTINI, E
ALBANI, LM
ANTONELLI, A
MANFREDI, M
PALLADINI, G
机构
[1] UNIV ROME LA SAPIENZA,DIPARTIMENTO SCI NEUROL,VIA UNIV 30,I-00185 ROME,ITALY
[2] OSPED BAMBINO GESU,ROME,ITALY
[3] UNIV ROME LA SAPIENZA,IST ISTOL & EMBRIOL,I-00185 ROME,ITALY
[4] UNIV ROME LA SAPIENZA,DIPARTIMENTO BIOPATOL UMANA,I-00185 ROME,ITALY
来源
ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES | 1992年 / 13卷 / 09期
关键词
ADULT ORTHOCHROMATIC LEUKODYSTROPHY; BRAIN BIOPSY;
D O I
10.1007/BF02229165
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report the intra vitam histopathological findings on the brain of a female patient presenting an adult form of orthochromatic leukodystrophy. At 38 years of age the patient began to show progressive dementia and a pseudobulbar syndrome. The pedigree revealed an autosomal dominant pattern of inheritance. The CT scan showed a wide hypodensity of the anterior white matter. Biochemical investigations showed only a slight elevation of serum VLCFA and no alteration of urinary enzymatic activities. Cortical and subcortical biopsy specimens from the right frontal lobe showed: neuronal loss in the gray matter, accumulation of autofluorescent material within residual neurons and sudanophilic material within macrophages and astrocytes, sparing of axons. Electron microscopy showed lamination and fragmentation of the myelin and the presence of electrondense bodies and vesicular material into oligodendrocytes and astrocytes. We discuss the differential diagnosis of OLD forms with adult onset, namely between Lowenberg-Hill disease and the pure form of OLD with pigmented glial cells.
引用
收藏
页码:787 / 792
页数:6
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