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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1986 Dec;49(12):1438–1440. doi: 10.1136/jnnp.49.12.1438

Familial spinocerebellar degeneration as an expression of adrenoleukodystrophy.

T Kobayashi, S Noda, H Umezaki, I Goto, S Suzuki, T Kitaguchi, Y Kuroiwa
PMCID: PMC1029132  PMID: 3468205

Abstract

A family with adrenoleukodystrophy and clinical manifestations of spinocerebellar degeneration was studied. Two adult male first cousins showed progressive limb and truncal ataxia, slurred speech and spasticity of the extremities. Brain CT scans demonstrated atrophy of the pons and cerebellum, in both cases. Very long chain fatty acids in plasma and erythrocyte membranes were elevated in the affected patients and intermediately increased in an aunt and the mother of one patient, thereby indicating homozygotes and carriers of adrenoleukodystrophy, respectively. This unusual type of adrenoleukodystrophy seems to be transmitted as an X-linked recessive trait.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker A. B. [A tribute to Russell DeJong, founding Editor-in-chief]. Neurology. 1977 Jan;27(1):1–2. doi: 10.1212/wnl.27.1.1. [DOI] [PubMed] [Google Scholar]
  2. Brown F. R., 3rd, Van Duyn M. A., Moser A. B., Schulman J. D., Rizzo W. B., Snyder R. D., Murphy J. V., Kamoshita S., Migeon C. J., Moser H. W. Adrenoleukodystrophy: effects of dietary restriction of very long chain fatty acids and of administration of carnitine and clofibrate on clinical status and plasma fatty acids. Johns Hopkins Med J. 1982 Oct;151(4):164–172. [PubMed] [Google Scholar]
  3. Green P. M. Chorea induced by oral contraceptives. Neurology. 1980 Oct;30(10):1131–1132. doi: 10.1212/wnl.30.10.1131. [DOI] [PubMed] [Google Scholar]
  4. Griffin J. W., Goren E., Schaumburg H., Engel W. K., Loriaux L. Adrenomyeloneuropathy: a probable variant of adrenoleukodystrophy. I. Clinical and endocrinologic aspects. Neurology. 1977 Dec;27(12):1107–1113. doi: 10.1212/wnl.27.12.1107. [DOI] [PubMed] [Google Scholar]
  5. Igarashi M., Schaumburg H. H., Powers J., Kishmoto Y., Kolodny E., Suzuki K. Fatty acid abnormality in adrenoleukodystrophy. J Neurochem. 1976 Apr;26(4):851–860. doi: 10.1111/j.1471-4159.1976.tb04462.x. [DOI] [PubMed] [Google Scholar]
  6. Kobayashi T., Katayama M., Suzuki S., Tomoda H., Goto I., Kuroiwa Y. Adrenoleukodystrophy: detection of increased very long chain fatty acids by high-performance liquid chromatography. J Neurol. 1983;230(4):209–215. doi: 10.1007/BF00313696. [DOI] [PubMed] [Google Scholar]
  7. Kuroda S., Hirano A., Yuasa S. Adrenoleukodystrophy-cerebello-brainstem dominant case. Acta Neuropathol. 1983;60(1-2):149–152. doi: 10.1007/BF00685361. [DOI] [PubMed] [Google Scholar]
  8. Marsden C. D., Obeso J. A., Lang A. E. Adrenoleukomyeloneuropathy presenting as spinocerebellar degeneration. Neurology. 1982 Sep;32(9):1031–1032. doi: 10.1212/wnl.32.9.1031. [DOI] [PubMed] [Google Scholar]
  9. Moser H. W., Moser A. E., Singh I., O'Neill B. P. Adrenoleukodystrophy: survey of 303 cases: biochemistry, diagnosis, and therapy. Ann Neurol. 1984 Dec;16(6):628–641. doi: 10.1002/ana.410160603. [DOI] [PubMed] [Google Scholar]
  10. Moser H. W., Tutschka P. J., Brown F. R., 3rd, Moser A. E., Yeager A. M., Singh I., Mark S. A., Kumar A. A., McDonnell J. M., White C. L., 3rd Bone marrow transplant in adrenoleukodystrophy. Neurology. 1984 Nov;34(11):1410–1417. doi: 10.1212/wnl.34.11.1410. [DOI] [PubMed] [Google Scholar]
  11. Ohno T., Tsuchida H., Fukuhara N., Yuasa T., Harayama H., Tsuji S., Miyatake T. Adrenoleukodystrophy: a clinical variant presenting as olivopontocerebellar atrophy. J Neurol. 1984;231(4):167–169. doi: 10.1007/BF00313932. [DOI] [PubMed] [Google Scholar]
  12. Schaumburg H. H., Powers J. M., Raine C. S., Suzuki K., Richardson E. P., Jr Adrenoleukodystrophy. A clinical and pathological study of 17 cases. Arch Neurol. 1975 Sep;32(9):577–591. doi: 10.1001/archneur.1975.00490510033001. [DOI] [PubMed] [Google Scholar]
  13. Suzuki S., Kitaguchi T., Tabira T., Goto I., Kuroiwa Y. [Case of adrenoleukodystrophy presenting as spinocerebellar degeneration]. Rinsho Shinkeigaku. 1983 Aug;23(8):678–682. [PubMed] [Google Scholar]
  14. Suzuki S., Kobayashi T., Goto I., Kuroiwa Y. Dietary treatment of adrenoleukodystrophy. Neurology. 1986 Jan;36(1):104–106. doi: 10.1212/wnl.36.1.104. [DOI] [PubMed] [Google Scholar]
  15. Tateishi J., Sato Y., Suetsugu M., Takashiba T. Adrenoleukodystrophy with olivopontocerebellar atrophy-like lesions. Clin Neuropathol. 1986 Jan-Feb;5(1):34–39. [PubMed] [Google Scholar]

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