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Juvenile Metachromatic Leukodystrophy
Arch Neurol 37:42-46, Haltia,T.,et al, 1980
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Article Abstract
A 38-year-old man presented with weakness of the lower limbs. Electrophysiology revealed a pronounced demyelinating neuropathy.Nerve biopsy disclosed de-and remyelinating lesions and characteristic lamellar inclusions in Schwann cells and macrophages.There was no familial history of neurologic disorder,and impairment of motor evoked potentials was the only sign of CNS involvement.Arylsulfatase A and cerebroside sulfate sulfatase activities in leukocytes and cultures of the patient's fibroblasts were low.The sulfatide loading test also revealed abnormal sulfatide accumulation.This may be the first reported case of adult metachromatic leukodystrophy presenting as peripheral neuropathy.
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arylsulfatase A
ataxia
electroencephalogram,abnormalities of
electromyogram
genetic neurologic disorders
mental retardation
metachromatic leukodystrophy
metachromatic leukodystrophy,juvenile
nerve biopsy
neuropathology,brain
optic atrophy
seizure
speech disorder
speech disorder,childhood
tremor
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