Uyama E, Iwagoe H, Maeda J, Nakamura M, Terasaki T, Ando M
First Department of Internal Medicine, Kumamoto University School of Medicine, Japan.
Neurology. 1993 Jun;43(6):1249-51. doi: 10.1212/wnl.43.6.1249.
We describe a patient with presenile-onset cerebral adrenoleukodystrophy presenting as Balint's syndrome and dementia. There were demyelinating MRI changes in the parieto-occipital white matter bilaterally, including the splenium of the corpus callosum. Therapeutic trials using 1-deamino-(8-D-arginine)-vasopressin, very long-chain fatty acid-free diet, and gamma-globulin were of no benefit.
我们描述了一名患有早发性脑肾上腺脑白质营养不良的患者,其表现为巴林特综合征和痴呆。磁共振成像(MRI)显示双侧顶枕叶白质存在脱髓鞘改变,包括胼胝体压部。使用1-去氨基-(8-D-精氨酸)-血管加压素、极长链脂肪酸无饮食和γ-球蛋白的治疗试验均无益处。