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神经元蜡样脂褐质沉积症的分类与自然病史。

Classification and natural history of the neuronal ceroid lipofuscinoses.

作者信息

Mink Jonathan W, Augustine Erika F, Adams Heather R, Marshall Frederick J, Kwon Jennifer M

机构信息

Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

出版信息

J Child Neurol. 2013 Sep;28(9):1101-5. doi: 10.1177/0883073813494268. Epub 2013 Jul 9.

Abstract

The neuronal ceroid lipofuscinoses represent a group of disorders characterized by neurodegeneration and intracellular accumulation of an auto-fluorescent lipopigment (ceroid lipofuscin). Together, they represent the most prevalent class of childhood neurodegenerative disease. The neuronal ceroid lipofuscinoses encompass several distinct biological entities that vary in age of onset, specific neurologic phenotype, and rate of progression. In this review, we describe 9 major forms and present a classification scheme. Understanding the age of onset, clinical features, and natural history can inform rational diagnostics. Better knowledge of the natural histories of these disorders is necessary to shed light on the underlying pathobiology and to develop new therapeutics.

摘要

神经元蜡样脂褐质沉积症是一组以神经退行性变和自身荧光脂色素(蜡样脂褐质)在细胞内蓄积为特征的疾病。它们共同构成了儿童期最常见的神经退行性疾病类型。神经元蜡样脂褐质沉积症包含几个不同的生物学实体,其发病年龄、特定神经表型和进展速度各不相同。在本综述中,我们描述了9种主要类型并提出了一种分类方案。了解发病年龄、临床特征和自然病程有助于进行合理诊断。更好地了解这些疾病的自然病程对于阐明潜在的病理生物学机制和开发新的治疗方法是必要的。

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