[Globoid cell leukodystrophy].
نویسندگان
چکیده
A 29 year old male with onset of globoid cell leukodystrophy at age 14 is described. This is the first case of enzymatically confirmed globoid cell leukodystrophy with onset of symptoms after the age of ten. This patient is unique because of the late onset and slow progression and extends the clinical spectrum of globoid cell leukodystrophy. Globoid cell leukodystrophy is caused by the deficiency of galactocerebroside beta-galactosidase, a lysosomal enzyme.' Clinically, it is characterised by psychomotor deterioration, pyramidal signs and visual loss. Eighteen case reports of "late onset" globoid cell leukodystrophy with enzymatic confirmation have been published to date and in all these patients, signs and symptoms were present by the age of ten. In thirteen of these patients, the onset of the disease was before the age of five and in the remainder, neurological signs and symptoms began before the age of ten years.2 No case of enzymatically proven globoid cell leukodystrophy with onset after age ten has been diagnosed antemortem. National Institutes of Health, Bethesda, Maryland, USA Developmental and Metabolic Neurology Branch, NINDS R P Grewal N W Barton Department of Radiology, Clinical Center N Petronas Correspondence to: Dr Grewal, Building 10, Rm 3D03, DMNB, NINDS, NIH, 9000 Rockville Pike, Bethesda, Maryland, USA 20892 Received 8 October 1990
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عنوان ژورنال:
- Pathologica
دوره 75 1038 شماره
صفحات -
تاریخ انتشار 1983