晚期发病的泰-萨克斯病呈现神经肌肉表型 - 一个病例系列
Sarah Fullam1, Zara Togher1, Alan Power2
1Department of Neurology, Tallaght University Hospital, Dublin, Ireland.
European journal of neurology
|September 27, 2023
概括
晚期发病的泰-萨克斯病 (LOTS) 可以表现为一种纯粹的神经肌肉疾病,挑战典型的诊断假设. 这一发现对于识别非阿什基纳兹犹太人的前角细胞障碍至关重要.
科学领域:
- 遗传学和罕见疾病.
- 神经学 神经学
- 溶酶体储存障碍 溶酶体储存障碍
背景情况:
- 泰-萨克斯病是一种罕见的,致命的自体逆向性溶酶体储存障碍.
- 缺乏β-hexosaminidase会导致GM2化物积累,从而导致神经元损伤.
- 典型的发病是在婴儿期,但晚发病的泰-萨克斯病 (LOTS) 呈现缓慢,通常与小脑和运动神经元功能障碍有关.
研究的目的:
- 描述一个病例系列的四个无关的患者与LOTS.
- 调查非亚什肯纳兹犹太人个体中LOTS的临床表现.
- 为了在很多方面评估神经肌肉表型.
主要方法:
- 对四名无关病人的病例序列分析.
- 电肌图用于评估运动神经病变.
- 对神经和神经肌肉症状的临床评估.
主要成果:
- 这四个患者都呈现出一种主要的神经肌肉类的表型.
- 在所有病例中,肌电图证实了运动神经病变.
- 大脑小缩,这是LOTS的一个共同特征,在所有患者中都不存在.
结论:
- 很多可以表现为纯粹的神经肌肉疾病.
- 这种表型应在前角细胞疾病的差异诊断中考虑.
- 很多需要考虑超越典型的演示,特别是在非阿什基纳兹人群中.
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