Academic Journal
Diffusion and ADC-map images detect ongoing demyelination on subcortical white matter in an adult metachromatic leukodystrophy patient with autoimmune Hashimoto thyroiditis
| العنوان: | Diffusion and ADC-map images detect ongoing demyelination on subcortical white matter in an adult metachromatic leukodystrophy patient with autoimmune Hashimoto thyroiditis |
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| المؤلفون: | Miura, Akiko, Kumabe, Yuri, Kimura, En, Yamashita, Satoshi, Ueda, Akihiko, Hirano, Teruyuki, Uchino, Makoto |
| بيانات النشر: | British Medical Journal Publishing Group |
| سنة النشر: | 2010 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | case-report |
| الوصف: | Adult-onset metachromatic leukodystrophy (MLD) often shows schizophrenia- or encephalopathy-like symptoms at an early stage, such as behavioural abnormalities, cognitive impairment, mood disorders and hallucinations. The authors report the case of an adult woman with MLD who had been given antipsychotic medication for schizophrenia. In the differential diagnosis, screening of auto-antibodies was important for ruling out other encephalopathies as she had a euthyroid Hashimoto thyroiditis. Diagnosis was based the results of MRI, nerve conduction velocity, sensory evoked potential, motor evoked potential, lysosomal enzyme activity and gene analysis studies. Brain MRI showed diffuse demyelination spreading from the deep white matter to subcortical area as high signals at the edges of these lesions in diffusion and apparent diffusion coefficient-map images with the U-fibres conserved. The authors diagnosed adult-onset MLD coexisting with euthyroid autoimmune Hashimoto thyroiditis. |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| Relation: | http://casereports.bmj.com/cgi/content/short/2010/nov30_1/bcr0120102631; http://dx.doi.org/10.1136/bcr.01.2010.2631 |
| DOI: | 10.1136/bcr.01.2010.2631 |
| الاتاحة: | http://casereports.bmj.com/cgi/content/short/2010/nov30_1/bcr0120102631 https://doi.org/10.1136/bcr.01.2010.2631 |
| Rights: | Copyright (C) 2010, BMJ Publishing Group Ltd |
| رقم الانضمام: | edsbas.FDA09662 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bcr.01.2010.2631 |
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