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成人脑白质病。

Leukoencephalopathies in adulthood.

机构信息

Department of Neurology, Mayo Clinic, Rochester, Minnesota 55901, USA.

出版信息

Semin Neurol. 2012 Feb;32(1):85-94. doi: 10.1055/s-0032-1306391. Epub 2012 Mar 15.

DOI:10.1055/s-0032-1306391
PMID:22422211
Abstract

The understanding of the genetic basis of late-onset leukoencephalopathies has continued to increase in recent years. The most commonly presenting leukoencephalopathies in adulthood can be late-onset manifestations of metabolic pathways. The understanding of these diagnoses is crucial to the evaluation of adult patients presenting with leukoencephalopathies. The authors provide an overview of the common leukoencephalopathies in adulthood, the current understanding of the pathology, and genetics of these disorders with typical imaging findings. When available, treatment options will be discussed.

摘要

近年来,人们对迟发性脑白质病的遗传基础的认识不断加深。在成年期最常见的脑白质病可能是代谢途径的迟发性表现。了解这些诊断对评估成年期出现脑白质病的患者至关重要。作者概述了成人常见的脑白质病,以及这些疾病的病理和遗传学,以及典型的影像学表现。如有可能,将讨论治疗选择。

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Leukoencephalopathies in adulthood.成人脑白质病。
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Leukodystrophies with late disease onset: an update.晚发型脑白质营养不良:更新。
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Front Aging Neurosci. 2021 Jun 29;13:671296. doi: 10.3389/fnagi.2021.671296. eCollection 2021.
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Blood Pressure Control and Protection of the Aging Brain.血压控制与衰老大脑的保护。
Neurotherapeutics. 2019 Jul;16(3):569-579. doi: 10.1007/s13311-019-00747-y.
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A Clinical Approach to the Differential Diagnosis of Multiple Sclerosis.多发性硬化症鉴别诊断的临床方法
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Case records of the Massachusetts General Hospital. Case 9-2015. A 31-year-old man with personality changes and progressive neurologic decline.马萨诸塞州总医院病例记录。病例9 - 2015。一名31岁男性,伴有人格改变和进行性神经功能衰退。
N Engl J Med. 2015 Mar 19;372(12):1151-62. doi: 10.1056/NEJMcpc1409839.
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Small vessel disease and memory loss: what the clinician needs to know to preserve patients' brain health.小血管疾病与记忆丧失:为保护患者大脑健康,临床医生需知的知识。
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Impaired information-processing speed and working memory in leukoencephalopathy with brainstem and spinal cord involvement and elevated lactate (LBSL) and DARS2 mutations: a report of three adult patients.脑桥和脊髓受累伴乳酸性酸中毒和天冬氨酸氨基转移酶升高(LBSL)和 DARS2 突变的脑白质病患者的信息处理速度和工作记忆受损:三例成年患者报告。
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