Schneider Susanne A
Dept. of Neurology, University of Kiel, Arnold-Heller-Straße, 24105, Kiel, Germany.
Parkinsonism Relat Disord. 2016 Jan;22 Suppl 1:S21-5. doi: 10.1016/j.parkreldis.2015.08.012. Epub 2015 Aug 14.
Syndromes with Neurodegeneration with Brain Iron Accumulation (NBIA) are a group of neurodegenerative disorders characterized by excess iron mainly in the globus pallidus and sometimes adjacent areas. They clinically present as hypo- and/or hyperkinetic movement disorders and a variable degree of pyramidal, cerebellar, peripheral nerve, autonomic, cognitive and psychiatric involvement and visual dysfunction. Several causative genes underlying NBIA have been identified which explain about 65% of cases. Pathophysiologically, many of the NBIA syndromes map into related biochemical pathways and gene networks including lipid metabolism. Treatment for NBIA disorders remains symptomatic.
脑铁沉积伴神经退行性变(NBIA)综合征是一组神经退行性疾病,其特征是主要在苍白球以及有时在相邻区域有过量铁沉积。临床上表现为运动过少和/或运动过多性运动障碍,以及不同程度的锥体束、小脑、周围神经、自主神经、认知和精神方面受累及视觉功能障碍。已确定了几种导致NBIA的致病基因,这些基因可解释约65%的病例。在病理生理学上,许多NBIA综合征可归入相关的生化途径和基因网络,包括脂质代谢。NBIA疾病的治疗仍以对症治疗为主。