Very‐late‐onset adrenoleukodystrophy
- 1 February 1992
- journal article
- case report
- Published by Wolters Kluwer Health in Neurology
- Vol. 42 (2) , 367
- https://doi.org/10.1212/wnl.42.2.367
Abstract
We report the clinical history, neuroradiology, and autopsy findings in a patient with very late onset, at age 57, of adrenoleukodystrophy (ALD) presenting with dementia, hemianopia, and gait apraxia. Open brain biopsy, elevated plasma very-long-chain fatty acids, and autopsy confirmed the diagnosis of ALD. Demyelinative lesions were most extensive at the site of a recent cerebral contusion. CNS trauma may have precipitated or accelerated demyelination in this patient carrying the ALD gene.Keywords
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