Gasparetto Emerson L, Rosa Juliana Mecunhe, Davaus Taísa, de Carvalho Neto Arnolfo
Department of Internal Medicine, University of Paraná, Curitiba PR - Brasil.
Arq Neuropsiquiatr. 2006 Dec;64(4):1033-5. doi: 10.1590/s0004-282x2006000600030.
To report a case of childhood cerebral X-linked adrenoleukodystrophy (X-ADL), emphasizing the magnetic resonance imaging (MRI) findings at initial evaluation and at the follow-up.
Five year-old boy, who was asymptomatic, presented with diagnosis of X-ADL for MRI evaluation. The initial brain MRI showed a focal area of enhancement at the splenium of the corpus calosum. One year later, the follow-up MRI showed a progression of the corpus calosus lesion, as well as other lesions in the parietal and occipital lobes.
The brain MRI follow-up of patients with X-ADL is important to show the progression of the lesions.
报告一例儿童X连锁肾上腺脑白质营养不良（X-ADL）病例，重点强调初始评估及随访时的磁共振成像（MRI）表现。
一名5岁无症状男孩因X-ADL诊断接受MRI评估。初始脑部MRI显示胼胝体压部有一个局灶性强化区域。一年后，随访MRI显示胼胝体病变进展，以及顶叶和枕叶出现其他病变。
对X-ADL患者进行脑部MRI随访对于显示病变进展很重要。
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