Klemm E, Conzelmann E
Department of Neurology, University of Bonn, Federal Republic of Germany.
J Neurol. 1989 Oct;236(7):427-9. doi: 10.1007/BF00314905.
A 24-year-old man presented with a spastic and ataxic condition resembling chronic-progressive multiple sclerosis. Radiological examination revealed symmetrical diffuse paraventricular demyelination. Electrophysiological findings suggested additional involvement of the brain stem and the peripheral nervous system. The diagnosis of adult-onset metachromatic leucodystrophy was confirmed by biochemical and ultrastructural examination. In contrast to almost all adult cases reported so far, psychiatric symptoms were not present.