Albizzati M G, Bassi S, Mariani C, Allegranza A
Riv Patol Nerv Ment. 1976 Sep-Oct;97(5):293-304.
A case of a Schilder's disease (1912 type) in a seven year old boy is described. The patient died after four months and autopsy was performed. The most important clinical features are represented by repeated electroencephalograms, immunologic investigations in both plasma and CSF as well as tests of adrenal function. Histopatological examination of the brain shows a diffuse sudanophilic orthocromatic demyelinating process of both hemispheres with intense vascular cuffing, microglial proliferation and astrocytic hypertrophy. These findings are in contrast with some recent statements in the literature which reject a nosographic individuality to Schilder's disease and describe "Adrenoleukodystrophies" on doubtful criteria.
本文描述了一名七岁男孩患席尔德病(1912型)的病例。该患者在四个月后死亡并进行了尸检。最重要的临床特征包括多次脑电图检查、血浆和脑脊液的免疫学检查以及肾上腺功能测试。脑部组织病理学检查显示,双侧半球存在弥漫性嗜苏丹正色脱髓鞘过程,伴有强烈的血管套袖形成、小胶质细胞增生和星形细胞肥大。这些发现与文献中最近的一些观点形成对比,后者否认席尔德病的疾病分类学独特性,并以可疑标准描述了“肾上腺脑白质营养不良”。