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Adult-onset adrenoleukodystrophy presenting as a psychiatric disorder: MRI findings
Antonio Cézar Ribeiro Galvão1, Gislaine Cristina Lopes Machado-Porto2, Fábio Henrique de Gobbi Porto3
1MD, PhD, Assistant Professor. Department of Neurology, Hospital das Clínicas of the University of São Paulo (HC/FMUSP), São Paulo SP, Brazil.
Abstract:
A 35-year-old, previously healthy man presented psychiatric symptoms lasting four years, receiving treatment with neuroleptics. One year later he evolved with gait disequilibrium. After a further six months, cognitive symptoms were characterized with rapid evolution to a profound demented state. MRI showed signal changes in cerebral white matter and very long-chain fatty acids were detected in blood.
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