Adult peroxisomal acyl-coenzyme A oxidase deficiency with cerebellar and brainstem atrophy

作者:Ferdinandusse Sacha*; Barker Simon; Lachlan Katherine; Duran Marinus; Waterham Hans R; Wanders Ronald J A; Hammans Simon
来源:Journal of Neurology Neurosurgery and Psychiatry, 2010, 81(3): 310-312.
DOI:10.1136/jnnp.2009.176255

摘要

Peroxisomal acyl-coenzyme A oxidase deficiency ( formerly also called pseudoneonatal adrenoleucodystrophy) is a disorder of peroxisomal fatty acid oxidation with a severe presentation. Most patients present at birth or in early infancy, and the mean age of death was 5 years in a recently published cohort of 22 patients. Brain imaging shows a progressive leucodystrophy. The authors report here the first adult patients ( two siblings, 52 and 55 years old) with peroxisomal acyl-coenzyme A oxidase deficiency with a remarkably mild clinical presentation. Magnetic resonance brain imaging revealed profound atrophy of the brainstem and cerebellum.

  • 出版日期2010-3