Wilson's disease with myoclonus and white matter lesions

被引:15
作者
Barbosa, Egberto Reis
Silveira-Moriyama, Laura
Machado, Alexandre Costa
Bacheschi, Luiz Alberto
Rosemberg, Sergio
Scaff, Milberto
机构
[1] Univ Sao Paulo, Sch Med, Dept Neurol, BR-01234001 Sao Paulo, SP, Brazil
[2] Univ Sao Paulo, Sch Med, Dept Pathol, BR-01234001 Sao Paulo, SP, Brazil
关键词
myoclonus; white matter lesions; Wilson disease;
D O I
10.1016/j.parkreldis.2006.03.012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
White matter lesions (WML) and epilepsy have been occasionally seen in Wilson's disease. No cases of generalized myoclonus have been reported so far. We present a patient with psychiatric symptoms starting at age 16, followed by tremor, generalized dystonia and severe generalized myoclonus. In addition to classical findings, the MRI showed also extensive WML in temporal, parietal and frontal regions, preserving interhemispheric fibers. Necropsy revealed marked alterations of white matter, cortex and basal ganglia. We subsequently review the literature concerning WML and myoclonus in Wilson's disease. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:185 / 188
页数:4
相关论文
共 10 条
[2]   WILSONS-DISEASE AND EPILEPSY [J].
DENING, TR ;
BERRIOS, GE ;
WALSHE, JM .
BRAIN, 1988, 111 :1139-1155
[3]   White matter changes in Wilson disease [J].
Hedera, P ;
Brewer, GJ ;
Fink, JK .
ARCHIVES OF NEUROLOGY, 2002, 59 (05) :866-867
[4]  
Huang C C, 1995, Parkinsonism Relat Disord, V1, P53, DOI 10.1016/1353-8020(95)00013-V
[5]  
JARDIM L B, 1991, Arquivos de Neuro-Psiquiatria, V49, P211
[6]   INITIAL AND FOLLOW-UP BRAIN MRI FINDINGS AND CORRELATION WITH THE CLINICAL COURSE IN WILSONS-DISEASE [J].
ROH, JK ;
LEE, TG ;
WIE, BA ;
LEE, SB ;
PARK, SH ;
CHANG, KH .
NEUROLOGY, 1994, 44 (06) :1064-1068
[7]  
Saatci I, 1997, ACTA RADIOL, V38, P250
[8]   CLINICAL-ASSESSMENT OF 31 PATIENTS WITH WILSONS-DISEASE - CORRELATIONS WITH STRUCTURAL-CHANGES ON MAGNETIC-RESONANCE-IMAGING [J].
STAROSTARUBINSTEIN, S ;
YOUNG, AB ;
KLUIN, K ;
HILL, G ;
AISEN, AM ;
GABRIELSEN, T ;
BREWER, GJ .
ARCHIVES OF NEUROLOGY, 1987, 44 (04) :365-370
[9]   MAGNETIC-RESONANCE-IMAGING OF THE BRAIN IN WILSONS-DISEASE [J].
THUOMAS, KA ;
AQUILONIUS, SM ;
BERGSTROM, K ;
WESTERMARK, K .
NEURORADIOLOGY, 1993, 35 (02) :134-141
[10]   A Wilson's disease patient with prominent cerebral white matter lesions: Five-year follow-up by MRI [J].
Yoshii, F ;
Takahashi, W ;
Shinohara, Y .
EUROPEAN NEUROLOGY, 1996, 36 (06) :392-393