Serial neurophysiological studies and magnetic resonance imaging in late-infantile metachromatic leukodystrophy

被引:0
作者
Zafeiriou, DI [1 ]
Kontopoulos, E [1 ]
Michelakaki, E [1 ]
Anastasiou, A [1 ]
Gombakis, N [1 ]
Katzos, G [1 ]
机构
[1] Aristotelian Univ Salonika, Pediat Clin 1, GR-54006 Salonika, Greece
来源
NEW DEVELOPMENTS IN CHILD NEUROLOGY | 1998年
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R74 [神经病学与精神病学];
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摘要
We present serial clinical, radiological and neurophysiological findings of a patient with late-infantile metachromatic leukodystrophy (MLD), who was first admitted to the hospital at the age of 30 months, because of gait disturbance; neurologically he showed the picture of a mild spastic diplegia. Magnetic resonance imaging (MRI) disclosed diffuse high intensity in the cerebral white matter on Til-weighted images. Nerve conduction velocities and evoked potential studies were markedly abnormal. Assay of arylsulfatase A activity in leukocyte culture disclosed a marked deficiency of the enzyme, thus confirming the diagnosis of late-infantile MLD. Serial neurophysiological and MRI studies demonstrated the progressive nature of the disorder, correlating with the clinical deterioration (spastic tetraplegia with optic atrophy and epilepsy).
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页码:111 / 115
页数:5
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