Ishii M, Tanabe Y, Goto M, Sugita K
Department of Pediatric Neurology, Chiba Rehabilitation Center.
No To Hattatsu. 1992 Sep;24(5):491-3.
We experienced a 5-year-old girl, who had presented with nystagmus and psychomotor regression since 1 year old. No clinical diagnosis had been made despite various examinations including lysosomal enzymes and muscle biopsy. Her brain magnetic resonance imaging (MRI) revealed increased a T2 signal in bilateral cerebellar hemisphere. Recently this MRI finding was reported as a typical feature of infantile neuroaxonal dystrophy (INAD). Then we performed the second biopsy from her peripheral nerve, and diagnosed her as having INAD. It was suggested that MRI was a useful aid for the diagnosis of INAD.
我们接诊了一名5岁女孩,自1岁起就出现眼球震颤和精神运动发育迟缓。尽管进行了包括溶酶体酶和肌肉活检在内的各种检查,仍未做出临床诊断。她的脑部磁共振成像(MRI)显示双侧小脑半球T2信号增强。最近,这一MRI表现被报道为婴儿神经轴索性营养不良(INAD)的典型特征。随后我们对她的周围神经进行了第二次活检,诊断她患有INAD。提示MRI对INAD的诊断有辅助作用。