中国实用儿科杂志
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神经元蜡样质脂褐质沉积症(NCL)属于神经元变性病,其临床表现复杂,主要表现包括多种类型的癫痫发作、肌阵挛、智力运动发育落后或倒退,视力损害是其常见的临床表现之一。头颅影像显示大脑皮质和小脑萎缩。NCL临床分型包括先天型、婴儿型、晚婴型、青少年型和成年型。结合发病年龄和基因型,最新分类包括CLN1~CLN14共14种类型。NCL基因型和表型并非完全对应,结合其临床表现和起病年龄,可以进行酶学检测、基因检测和皮肤肌肉活检病理检查明确诊断。尚无特效治疗NCL的方法,目前以对症治疗为主。
关键词: 神经元蜡样质脂褐质沉积症, 癫痫, 视力障碍, 基因
Abstract:
Neuronal ceroid lipofuscinoses(NCL) is a rare neurodegenerative disease. The clinical manifestations of this disease are complex,mainly including multiple types of seizures,myoclonus,cognitive and motor delay or regressions;visual loss is common. Brain imaging indicates cerebral cortex and cerebellar atrophy. The clinical classification of NCL includes congenital,infantile,late-infantile,juvenile and adult types. Combined with the age of onset and genotype,the latest classification includes 14 types(CLN1-CLN14). The genotype and phenotype of the disease are not fully matched. The approach to diagnosis should consider clinical features and age of onset. Related enzyme testing,genetic detection,skin and muscular pathological examination should be done for diagnosis. No effective treatment has been found so far,and the current treatment is mainly symptomatic.
Key words: neuronal ceroid lipofuscinoses, epilepsy, vision disorder, gene
张 静,张月华. 神经元腊样质脂褐质沉积症分型和诊断[J]. 中国实用儿科杂志, DOI: 10.19538/j.ek2018040604.
ZHANG Jing,ZHANG Yue-hua. Classification and diagnosis of neuronal ceroid lipofuscinoses[J]. CJPP, DOI: 10.19538/j.ek2018040604.
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http://www.zgsyz.com/zgsyek/CN/Y2018/V33/I4/257