Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder.

Autor: Lad, Meher, Thomas, Rhys H., Anderson, Kirstie, Griffiths, Timothy D.
Předmět:
Zdroj: Practical Neurology; Oct2019, Vol. 19 Issue 5, p420-423, 4p, 1 Color Photograph, 1 Diagram
Abstrakt: Niemann-Pick type C is an uncommon neurodegenerative lysosomal storage disorder that can cause a progressive neuropsychiatric syndrome associated with supranuclear vertical gaze palsy and a movement disorder. There have been recent developments in testing that make diagnosis easier and new therapies that aim to stabilise the disease process. A new biochemical test to measure serum cholesterol metabolites supersedes the skin biopsy and is practical and robust. It is treatable with miglustat, a drug that inhibits glycosphingolipid synthesis. We describe a patient, aged 22 years, with juvenileonset Niemann-Pick type C who presented with seizures and a label of 'cerebral palsy'. We describe the approach to this syndrome in general, and highlight the classical features and red flags that should alert a neurologist to this treatable condition. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index