A new CSF1R mutation presenting with an extensive white matter lesion mimicking primary progressive multiple sclerosis

被引:28
作者
Inui, Toshio [1 ]
Kawarai, Toshitaka [2 ]
Fujita, Koji [2 ]
Kawamura, Kazuyuki [1 ]
Mitsui, Takao [1 ]
Orlacchio, Antonio [3 ,4 ]
Kamada, Masaki [5 ]
Abe, Takashi [6 ]
Izumi, Yuishin [2 ]
Kaji, Ryuji [2 ]
机构
[1] Natl Hosp Org, Tokushima Hosp, Dept Neurol, Tokushima, Japan
[2] Univ Tokushima, Grad Sch, Inst Hlth Biosci, Dept Clin Neurosci, Tokushima 7700042, Japan
[3] CERC IRCCS Santa Lucia, Neurogenet Lab, Rome, Italy
[4] Univ Roma Tor Vergata, Dipartimento Med Sistemi, Rome, Italy
[5] Kagawa Univ, Fac Med, Dept Neurol Intractable Dis Res, Takamatsu, Kagawa 760, Japan
[6] Univ Tokushima, Grad Sch Med, Inst Hlth Biosci, Dept Radiol, Tokushima 7700042, Japan
关键词
Hereditary diffuse leukoencephalopathy with spheroids; Colony stimulating factor 1 receptor gene; White matter lesions; Primary progressive form of multiple sclerosis; Differential diagnosis; Genotype-phenotype correlations; HEREDITARY DIFFUSE LEUKOENCEPHALOPATHY; DISEASE;
D O I
10.1016/j.jns.2013.08.020
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
HDLS (Hereditary Diffuse Leukodystrophy with Spheroids) is a hereditary leukodystrophy whose main clinical manifestations include parkinsonism, spasticity, and ataxia. Genetic defects in the colony-stimulating factor 1 receptor (CSF1R) gene have been reported in many HDLS cases. The present report describes a new missense mutation Arg777Gln involving exon 18 of the CSF1R gene in a sporadic patient presenting with tumor-like lesions mimicking primary progressive multiple sclerosis. The patient was initially diagnosed with a progressive variant of multiple sclerosis and received inadequate treatments. Although most HDLS cases have a positive family history, this disease should also be suspected in sporadic patients showing unusual white matter lesions at MRI. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:192 / 195
页数:4
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