Atypical focal MRI lesions in a case of juvenile Alexander's disease

被引:28
作者
Probst, EN
Hagel, C
Weisz, V
Nagel, S
Wittkugel, O
Zeumer, H
Kohlschütter, A
机构
[1] Univ Hamburg, Hosp Eppendorf, Dept Neuroradiol, D-20246 Hamburg, Germany
[2] Univ Hamburg, Hosp Eppendorf, Dept Neuropathol, D-20246 Hamburg, Germany
[3] Univ Hamburg, Hosp Eppendorf, Dept Pediat, D-20246 Hamburg, Germany
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D O I
10.1002/ana.10382
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We present a juvenile case of Alexander's disease with atypical focal magnetic resonance imaging-detected lesions and elevated levels of lactate in cerebrospinal fluid. The diagnosis was based on the neuropathological finding of a diffuse accumulation of Rosenthal fibers within the brain and the spinal cord. The diagnosis was confirmed by detection of a mutation in exon 1 at nucleotide position 249 of glial fibrillary acidic protein cDNA, a finding previously reported in cases of infantile Alexander's disease.
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页码:118 / 120
页数:3
相关论文
共 20 条
  • [1] PROGNOSTIC FACTORS IN PEDIATRIC BRAIN-STEM GLIOMAS
    ALBRIGHT, AL
    GUTHKELCH, AN
    PACKER, RJ
    PRICE, RA
    ROURKE, LB
    [J]. JOURNAL OF NEUROSURGERY, 1986, 65 (06) : 751 - 755
  • [3] Mutations in GFAP, encoding glial fibrillary acidic protein, are associated with Alexander disease
    Brenner, M
    Johnson, AB
    Boespflug-Tanguy, O
    Rodriguez, D
    Goldman, JE
    Messing, A
    [J]. NATURE GENETICS, 2001, 27 (01) : 117 - 120
  • [4] CHARACTERIZATION OF HUMAN CDNA AND GENOMIC CLONES FOR GLIAL FIBRILLARY ACIDIC PROTEIN
    BRENNER, M
    LAMPEL, K
    NAKATANI, Y
    MILL, J
    BANNER, C
    MEAROW, K
    DOHADWALA, M
    LIPSKY, R
    FREESE, E
    [J]. MOLECULAR BRAIN RESEARCH, 1990, 7 (04): : 277 - 286
  • [5] A histopathological contribution to supratentorial glioma grading, definition of mixed gliomas and recognition of low grade glioma with Rosenthal fibers
    Cillekens, JMJ
    Beliën, JAM
    van der Valk, P
    Faes, TJC
    van Diest, PJ
    Broeckaert, MAM
    Kralendonk, JH
    Kamphorst, W
    [J]. JOURNAL OF NEURO-ONCOLOGY, 2000, 46 (01) : 23 - 43
  • [6] Alexander's disease: Unique presentation
    Gingold, MK
    Bodensteiner, JB
    Schochet, SS
    Jaynes, M
    [J]. JOURNAL OF CHILD NEUROLOGY, 1999, 14 (05) : 325 - 329
  • [7] BULBAR PALSY WITH ROSENTHAL FIBER FORMATION IN THE MEDULLA OF A 15-YEAR-OLD GIRL - LOCALIZED FORM OF ALEXANDERS DISEASE
    GOEBEL, HH
    BODE, G
    CAESAR, R
    KOHLSCHUTTER, A
    [J]. NEUROPEDIATRICS, 1981, 12 (04) : 382 - 391
  • [8] Is Alexander's disease a nosologic entity or a common pathologic pattern of diverse etiology?
    Herndon, RM
    [J]. JOURNAL OF CHILD NEUROLOGY, 1999, 14 (05) : 275 - 276
  • [9] HERNDON RM, 1970, J NEUROPATHOL EXP NE, V30, P524
  • [10] HONNORAT J, 1993, REV NEUROL, V149, P781