J Korean Neurol Assoc.
2001 Jul;19(4):427-430.
A Case of Adrenomyeloneuropathy Confirmed by Serum Very Long Chain Fatty Acids Level
- Affiliations
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- 1Department of Neurology, National Medical Center.
- 2Department of Neurology, Collage of Medicine, Yonsei University.
Abstract
- A 31-year-old male patient was admitted to the department of neurology for progressive spastic paraparesis and sen-sory deficit in bilateral lower legs. On review of system, he had decreased libido and mild urinary frequency. On neuro-logic examination, he showed paraparesis, lower limb hypesthesia, bilateral hyperactive knee jerk and bilateral positive Babinski sign. The nerve conduction studies were sensori-motor demyelinating polyneuropathy. For spastic paraparesis and peripheral neuropathy, we approached adrenomyeloneuropathy and ascertained elevated serum very long chain fatty acids (VLCFA) level. (J Korean Neurol Assoc 19(4):427~430, 2001)
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