Griffiths I R, Duncan I D
Acta Neuropathol. 1979 May 15;46(3):169-72. doi: 10.1007/BF00690839.
The pathology of the central nervous system (CNS) in a dog with giant axonal neuropathy (GAN) is presented. Swollen axons containing excessive and disorganised neurofilaments were present in the spinal cord, mainly at the distal portions of long tracts. The fasiculus gracilis and dorsal spinocerebellar tracts were affected only in the rostral cervical cord while the lateral cortico spinal tract was principally involved in the lower thoracic and lumbar cord. Occasional swellings were also found in the central dorsal columns of the rostral lumbar segments and in the dorsal and intermediate grey matter. The nuclei gracilis and cuneatus, restiform body and ventral spinocerebellar tracts were all involved in the brain stem. Spheroids were seen in the white matter of the rostral cerebellar vermis and in the granule cell layer. The brachium of the superior colliculus contained swollen axons and the cortex was diffusely involved with spheroids. The distribution was of a distal axonopathy and the cortical changes provided an explanation for the abnormal EEG and mental retardation found in some human patients.
本文介绍了一只患有巨大轴索神经病(GAN)的犬中枢神经系统(CNS)的病理学情况。脊髓中存在肿胀的轴突,其中含有过多且排列紊乱的神经丝,主要位于长束的远端部分。薄束和脊髓背小脑束仅在颈髓头端受累,而皮质脊髓侧束主要累及胸髓下段和腰髓。在腰髓头段的中央背柱以及背侧和中间灰质中也偶尔发现肿胀。薄束核、楔束核、绳状体和脊髓腹小脑束在脑干均有受累。在小脑蚓部头端的白质和颗粒细胞层可见到球状小体。上丘臂含有肿胀的轴突,皮质广泛出现球状小体。其分布表现为远端轴突病,皮质变化为一些人类患者出现的异常脑电图和智力发育迟缓提供了解释。