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伴有脑内钙化、白质病变、生长激素缺乏、小头畸形和视网膜变性的脑病:两例同胞病例证实可能是一种独特的疾病实体。

Encephalopathy with intracerebral calcification, white matter lesions, growth hormone deficiency, microcephaly, and retinal degeneration: two sibs confirming a probably distinct entity.

作者信息

Bönnemann C G, Meinecke P, Reich H

机构信息

Altonaer Kinderkrankenhaus, Hamburg, Germany.

出版信息

J Med Genet. 1991 Oct;28(10):708-11. doi: 10.1136/jmg.28.10.708.

DOI:10.1136/jmg.28.10.708
PMID:1941968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1017060/
Abstract

Two sibs with an encephalopathy, including intracerebral calcification and white matter lesions, dwarfism owing to growth hormone deficiency, and retinal degeneration are reported. The onset of the disease in both patients occurred with retardation of motor development during the first year of life. Later, dwarfism, mental retardation, spasticity, ataxia, and retinal degeneration became apparent. These cases probably represent some form of connatal leucodystrophy. The differential diagnosis is discussed.

摘要

报告了两名患有脑病的同胞,其症状包括脑内钙化和白质病变、因生长激素缺乏导致的侏儒症以及视网膜变性。两名患者的疾病均在出生后第一年出现运动发育迟缓。随后,侏儒症、智力发育迟缓、痉挛、共济失调和视网膜变性变得明显。这些病例可能代表某种形式的先天性脑白质营养不良。文中讨论了鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/1017060/12876774ed8c/jmedgene00036-0064-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/1017060/f9cce9283937/jmedgene00036-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/1017060/1ab757f35a0f/jmedgene00036-0064-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/1017060/12876774ed8c/jmedgene00036-0064-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/1017060/f9cce9283937/jmedgene00036-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/1017060/1ab757f35a0f/jmedgene00036-0064-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/1017060/12876774ed8c/jmedgene00036-0064-b.jpg

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本文引用的文献

1
A tapetoretinal degeneration with symmetrical calcifications of the basal ganglia. A hereditary disease.一种伴有基底节对称性钙化的视网膜色素变性。一种遗传性疾病。
Eur Neurol. 1982;21(4):249-55. doi: 10.1159/000115488.
2
Microcephaly and intracranial calcification in two brothers.两兄弟的小头畸形和颅内钙化
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3
A progressive familial encephalopathy in infancy with calcifications of the basal ganglia and chronic cerebrospinal fluid lymphocytosis.一种婴儿期进行性家族性脑病,伴有基底节钙化和慢性脑脊液淋巴细胞增多。
艾卡迪-古铁雷斯综合征(家族性早发性脑病伴基底节钙化和慢性脑脊液淋巴细胞增多症)
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Two siblings with microcephaly associated with calcification of cerebral white matter.两名患有小头畸形并伴有脑白质钙化的兄弟姐妹。
Jinrui Idengaku Zasshi. 1985 Sep;30(3):213-7. doi: 10.1007/BF01876471.
5
Kearns-Sayre syndrome, hypoparathyroidism, and basal ganglia calcification.卡恩斯-塞尔综合征、甲状旁腺功能减退症和基底节钙化。
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Dermatoglyphic peculiarities in families with X-linked mental retardation and fragile site Xq27: a collaborative study.患有X连锁智力迟钝和脆性位点Xq27的家族中的皮纹特征:一项合作研究。
Clin Genet. 1986 Jul;30(1):1-13. doi: 10.1111/j.1399-0004.1986.tb00563.x.
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Intracranial calcification in paediatric computed tomography.
Neuroradiology. 1986;28(4):324-30. doi: 10.1007/BF00333438.
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