中国神经再生研究(英文版) ›› 2013, Vol. 8 ›› Issue (9): 833-842.doi: 10.3969/j.issn.1673-5374.2013.09.008

• 综述:神经损伤修复保护与再生 • 上一篇    下一篇

神经棘红细胞增多症的临床及遗传特征

  

  • 收稿日期:2012-10-20 修回日期:2012-12-23 出版日期:2013-03-25 发布日期:2013-03-25

Clinical and molecular research of neuroacanthocytosis

Lihong Zhang, Suping Wang, Jianwen Lin   

  1. Department of Neurology, Dalian Municipal Central Hospital, Affiliated Hospital of Dalian Medical University, Dalian 116033, Liaoning Province, China
  • Received:2012-10-20 Revised:2012-12-23 Online:2013-03-25 Published:2013-03-25
  • Contact: Lihong Zhang★, Master, Attending physician, Department of Neurology, Dalian Municipal Central Hospital, Affiliated Hospital of Dalian Medical University, Dalian 116033, Liaoning Province, China, zhanglihong5858@126.com.

摘要:

神经棘红细胞增多症是常染色体隐性或显性遗传病,表现为广泛非特异性神经系统症状,同时伴有红细胞棘突状改变。临床主要症状包括舞蹈症和肌张力障碍,以及运动失调,也可以精神及认知改变为主。以往认为该病主要包括舞蹈病-棘红细胞增多症和麦克劳德综合征,现在认为泛酸激酶相关性神经变性和类亨廷顿病2型也归为此类疾病。由于该病临床表现复杂多样,文章对其遗传特征、发病年龄、实验室检查及影像学表现、中枢和周围神经系统改变及神经系统外症状进行综述。

关键词: 神经再生, 综述, 神经退行性变, 神经棘红细胞增多症, 舞蹈病-棘红细胞增多症, 泛酸激酶相关性神经变性, 类亨廷顿病2型, 无β脂蛋白血症, 麦克劳德综合征, 临床症状, 遗传特征, 锥体外系疾病

Abstract:

Neuroacanthocytosis is an autosomal recessive or dominant inherited disease characterized by widespread, non-specific nervous system symptoms, or spiculated “acanthocytic” red blood cells. The clinical manifestations typically involve chorea and dystonia, or a range of other movement disorders. Psychiatric and cognitive symptoms may also be present. The two core neuroacanthocytosis syndromes, in which acanthocytosis is atypical, are autosomal recessive chorea-acanthocytosis and X-linked McLeod syndrome. Acanthocytes are found in a smaller proportion of patients with Huntington’s disease-like 2 and pantothenate kinase-associated neurodegeneration. Because the clinical manifestations are diverse and complicated, in this review we present features of inheritance, age of onset, neuroimaging and laboratory findings, as well as the spectrum of central and peripheral neurological abnormalities and extraneuronal involvement to help distinguish the four specific syndromes.

Key words: neural regeneration, neurodegenerative disease, reviews, neuroacanthocytosis, chorea-acanthocytosis, pantothenate kinase-associated neurodegeneration, Huntington’s disease-like 2, McLeod syndrome, clinical manifestations, features of inheritance, extrapyramidal disease, photographs-containing paper, neuroregeneration