Györi S, Molnár P
Morphol Igazsagugyi Orv Sz. 1989 Jan;29(1):55-60.
A new case of Lhermitte-Duclos disease was recognized as an accidental finding during the autopsy of a 58-year-old male who had died because of acute enteritis and shock-induced cardiac failure. Gross examination revealed focally disturbed cerebellar cortical structure in two foci. Microscopical investigation resulted in findings typical of Lhermitte-Duclos disease: 1. Broadened molecular layer containing myelinated axonal projections; 2. Disappearance of Purkinje cells; 3. Progressive hypertrophy of the granular cells within the granular layer; 4. Loss of the central white matter core of the cerebellar folia. The etiology and pathogenesis of the lesion is still unclear. With this first report in Hungarian the authors wish to call the attention to this rare disease.
一名58岁男性因急性肠炎和休克诱发的心力衰竭死亡,在尸检时意外发现一例新的Lhermitte-Duclos病病例。大体检查显示两个病灶处小脑皮质结构局灶性紊乱。显微镜检查发现了Lhermitte-Duclos病的典型表现:1. 分子层增宽,含有有髓轴突投射;2. 浦肯野细胞消失;3. 颗粒层内颗粒细胞进行性肥大;4. 小脑小叶中央白质核心缺失。该病变的病因和发病机制仍不清楚。作者通过这篇匈牙利语的首次报告,希望引起人们对这种罕见疾病的关注。