ISSN:
1432-0533
Keywords:
Nasu-Hakola's disease
;
Membranous lipodystrophy
;
Sclerosing leukodystrophy
;
Axonal neurofilamentous spheroid
;
Neuroaxonal leukoencephalopathy
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary An autopsy case of Nasu-Hakola's disease (membranous lipodystrophy) was reported. A 29-yearold Japanese woman whose younger sister had been affected with typical Nasu-Hakola's disease with skeletal and neuropsychiatric sysdromes and membranocystic lesions in the bones developed forgetfulness and lack of initiative. The clinical features were characterized by diminished drive, apathy, euphoria, disturbance of attention, amnestic syndrome, and gait disturbance. The elinical course of her illness was 8 years. The neuropathologic examination revealed marked symmetrical gliosis of the cerebral white matter (sclerosing leukodystrophy) predominantly in the frontal and temporal lobes with slight or moderate demyelination (dissociation glio-myelinique) and widespread axonal changes such as fragmentation and spheroid in the white matter of the cerebral hemisphere, cerebellum, basal ganglia, and brain stem. The ultrastructure of spheroids showed neurofilamentous accumulation. We discussed the importance of axonal changes with regard to the pathogenesis and etiogenesis of the disease.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00689400
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