Yamaguchi Nanaka, Mano Tatsuo, Ohtomo Ryo, Ishiura Hiroyuki, Almansour M Asem, Mori Harushi, Kanda Junko, Shirota Yuichiro, Taira Kenichiro, Morikawa Teppei, Ikemura Masako, Yanagi Yasuo, Murayama Shigeo, Shimizu Jun, Sakurai Yasuhisa, Tsuji Shoji, Iwata Atsushi
Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan.
Department of Radiology, Graduate School of Medicine, The University of Tokyo, Japan.
Intern Med. 2018 Dec 1;57(23):3459-3462. doi: 10.2169/internalmedicine.1141-18. Epub 2018 Aug 10.
Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disease with marked variety in its clinical manifestations. While characteristic neuroimaging and skin biopsy findings are important clues to the diagnosis, autopsy studies are still important for confirming the exact disease features. We herein report the case of a patient who received an antemortem diagnosis of familial NIID with dementia-dominant phenotype that was later confirmed by an autopsy. Our report is the first to document a case of autopsy-confirmed NIID involving both cognitive impairment and sensorimotor neuropathy.
神经元核内包涵体病(NIID)是一种罕见的神经退行性疾病,临床表现具有显著多样性。虽然特征性的神经影像学和皮肤活检结果是诊断的重要线索,但尸检研究对于确认确切的疾病特征仍然很重要。我们在此报告一例生前诊断为家族性NIID且以痴呆为主型表型的患者,该诊断后来经尸检得以证实。我们的报告首次记录了一例经尸检证实的NIID病例,该病例同时涉及认知障碍和感觉运动神经病变。