Podreka I, Heiss W D, Jellinger K
Rofo. 1977 Dec;127(6):550-4. doi: 10.1055/s-0029-1230762.
In 6 patients with acute or exacerbating demyelinating disease and in 2 cases suffering from adrenoleucodystrophy (Schilder's disease) brain scintigraphy revealed areas with increased isotope uptake. The pathological foci were verified by autopsy in 4 cases and by inspection in 1. These foci are difficult to distinguish from other localized brain diseases causing increased isotope uptake; in addition to the clinical course and to spinal fluid abnormalities reversibility of the scintigraphic lesions indicate demyelinating diseases. The typical pattern of symmetrical lesions within the white matter and the progression of abnormalities from the occipital to the frontal lobe speak in favor of Schilder's disease.
在6例急性或加重性脱髓鞘疾病患者以及2例肾上腺脑白质营养不良(席尔德病)患者中,脑闪烁扫描显示同位素摄取增加的区域。4例经尸检、1例经检查证实了病理病灶。这些病灶很难与其他导致同位素摄取增加的局限性脑部疾病区分开来;除了临床病程和脑脊液异常外,闪烁扫描病变的可逆性提示脱髓鞘疾病。白质内对称性病变的典型模式以及异常从枕叶向额叶的进展提示席尔德病。