Pego R, Amigo M C, Escriche D, Romero J, Navarro C
Servicio de Neurologia, Hospital Juan Canalejo, La Coruña.
Rev Neurol. 1995 May-Jun;23(121):627-31.
Ceroid lipofuscinosis (CLF) is a progressive hereditary neurodegenerative disease characterised by deposits in the central nervous system and other tissues of ceroid lipopigment. Symptomatology and clinical course of the disease are heterogeneous and up to ten types have been distinguished, although the most frequent and best known are the Santavuori-Haltia infantile form, the Jansky-Bielschowsky late infantile form, the Spielmeyer-Vogt juvenile form and the Kufs adult form. We present here three cases diagnosed as having juvenile ceroid lipofuscinosis by means of muscular biopsy. Although morphological and ultrastructural findings in CLF have already been described in literature, the use of muscular biopsy as a means of diagnosis is not usual and its usefulness is not very well known. For this reason, we especially recommend this method for its simplicity and diagnostic specificity.
蜡样脂褐质沉积症(CLF)是一种进行性遗传性神经退行性疾病,其特征是蜡样脂色素在中枢神经系统和其他组织中沉积。该疾病的症状学和临床病程具有异质性,已区分出多达十种类型,尽管最常见且最广为人知的是桑塔沃里 - 哈尔蒂亚婴儿型、扬斯基 - 比尔绍夫斯基晚婴儿型、施皮勒迈尔 - 沃格特青少年型和库夫斯成人型。我们在此呈现三例通过肌肉活检诊断为青少年蜡样脂褐质沉积症的病例。尽管CLF的形态学和超微结构发现已在文献中有所描述,但使用肌肉活检作为诊断手段并不常见,其效用也不太为人所知。因此,我们特别推荐这种方法,因其操作简单且诊断特异性强。