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Adult-onset adrenoleukodystrophy presenting as a psychiatric disorder - MRI findings / Adrenoleucoistrofia de início tardio simulando doença psiquiátrica: relato de caso e revisão do assunto
Galvão, Antonio Cézar Ribeiro; Machado-Porto, Gislaine Cristina Lopes; Porto, Fábio Henrique de Gobbi; Lucato, Leandro Tavares; Nitrini, Ricardo.
  • Galvão, Antonio Cézar Ribeiro; University of São Paulo. Hospital das Clínicas. Department of Neurology. São Paulo, SP. BR
  • Machado-Porto, Gislaine Cristina Lopes; Hospital A.C. Camargo. Department of Radiology. São Paulo, SP. BR
  • Porto, Fábio Henrique de Gobbi; Department of Neurology. Cognitive Disorders Reference. Behavioral and Cognitive Neurology Unit. São Paulo, SP. BR
  • Lucato, Leandro Tavares; Hospital A.C. Camargo. Department of Radiology. São Paulo, SP. BR
  • Nitrini, Ricardo; University of São Paulo. Hospital das Clínicas. Department of Neurology. São Paulo, SP. BR
Dement. neuropsychol ; 6(4): 290-295, oct.-dec. 2012. ilus
Article in English | LILACS | ID: lil-670621
ABSTRACT
A 35-year-old, previously healthy man presented psychiatric symptoms lasting four years, receiving treatmentwith neuroleptics. One year later he evolved with gait disequilibrium. After a further six months, cognitive symptoms werecharacterized with rapid evolution to a profound demented state. MRI showed signal changes in cerebral white matter andvery long-chain fatty acids were detected in blood.
RESUMO
Homem de 35 anos, previamente saudável, iniciou há quatro anos sintomas psiquiátricos, recebendo tratamentocom neurolépticos. Um ano após evoluiu com alterações do equilíbrio. Há seis meses apresentou distúrbios cognitivos, piorando rapidamente a um estado de profunda demência. RM do encéfalo revelou intensa alteração de sinal na substânciabranca cerebral e foram detectados ácidos graxos de cadeia muito longa no sangue.
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Full text: Available Index: LILACS (Americas) Main subject: Magnetic Resonance Spectroscopy / Adrenoleukodystrophy / Leukoencephalopathies Type of study: Diagnostic study Limits: Humans Language: English Journal: Dement. neuropsychol Journal subject: NEUROCIENCIAS / Neurology / Psychology / Psychiatry Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Department of Neurology/BR / Hospital A.C. Camargo/BR / University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Magnetic Resonance Spectroscopy / Adrenoleukodystrophy / Leukoencephalopathies Type of study: Diagnostic study Limits: Humans Language: English Journal: Dement. neuropsychol Journal subject: NEUROCIENCIAS / Neurology / Psychology / Psychiatry Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Department of Neurology/BR / Hospital A.C. Camargo/BR / University of São Paulo/BR