Barz H, Kemmer C, Kunze D, Sachs B
Zentralbl Allg Pathol. 1976;120(4):333-42.
In the present investigation 2 sporadic cases of amyotrophic lateral sclerosis with the occurrence of myoclonic bodies (Lafora bodies) in the CNS are reported. The patients died after about 14 respectively 8 months lasting disease at the age of 41 and 43, respectively under the clinical signs of an ALS. Morphology, staining qualities, and the distribution of the myoclonic bodies in our cases correspond to the adult form of the myoclonic body disease (type Lundborg). In the literature we found further 6 cases of neurogenic muscle atrophy with the occurrence of myoclonic bodies in the CNS so that one might suppose a syntropy of these two affections. The possible pathophysiological relations of neurogenic muscle atrophy to the occurrence of myoclonic body disease in adults are briefly discussed.
本文报告了2例散发性肌萎缩侧索硬化症患者,其中枢神经系统中出现了肌阵挛小体(拉福拉小体)。两名患者分别在病程持续约14个月和8个月后死亡,年龄分别为41岁和43岁,临床表现均为肌萎缩侧索硬化症。我们病例中肌阵挛小体的形态、染色特性及分布与成人型肌阵挛小体病(伦德伯格型)相符。在文献中,我们还发现另外6例神经源性肌肉萎缩患者的中枢神经系统中出现了肌阵挛小体,因此可以推测这两种疾病存在协同关系。本文简要讨论了神经源性肌肉萎缩与成人肌阵挛小体病发生之间可能的病理生理关系。