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    Neurology. 1992 Feb;42(2):367-70.

    Very-late-onset adrenoleukodystrophy: possible precipitation of demyelination by cerebral contusion.

    Source

    Department of Neurology, University of Tübingen, Germany.

    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.

    PMID:
    1736167
    [PubMed - indexed for MEDLINE]

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