Skripkina N A, Datieva V K, Levin O S
Russian Medical Academy of Continuous Professional Education, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(9):104-110. doi: 10.17116/jnevro2021121091104.
Neuroacanthocytosis is a group of neurodegenerative diseases manifested by a combition of neurological symptoms (most often choreic hyperkinesis) and the presence of an increased number of acanthocytes (erythrocytes with horns) in the peripheral blood. This group includes chorea-acanthocytosis, MacLeod's syndrome, pantothenate kinase-associated neurodegeneration, Huntington-like disease type 2, and some other very rare diseases. This article presents a genetically confirmed clinical case of chorea-acanthocytosis associated with a compound mutation in the VPS13A gene, discusses in detail the stages of a diagnostic search, presents an algorithm for examining patients with chorea.
神经棘红细胞增多症是一组神经退行性疾病,其表现为神经症状(最常见的是舞蹈样运动过多)与外周血中棘红细胞(有角红细胞)数量增加同时出现。这组疾病包括舞蹈病-棘红细胞增多症、麦克劳德综合征、泛酸激酶相关神经变性、2型亨廷顿样疾病以及其他一些非常罕见的疾病。本文介绍了一例经基因确诊的舞蹈病-棘红细胞增多症临床病例,该病例与VPS13A基因的复合突变相关,详细讨论了诊断搜索的各个阶段,提出了对舞蹈病患者进行检查的算法。