Summary
A case of adrenoleukodystrophy showing neurological features of olivopontocerebellar atrophy is described. A CT scan demonstrated marked atrophy in both cerebellum and pons. ACTH stimulation produced no rise in the plasma cortisol level but a significant rise in the plasma aldosterone level. The ratios of C26:0 to C22:0 in fatty acids of sphingomyelin from erythrocyte membrane and plasma were increased.
Similar content being viewed by others
References
Berciano J (1982) Olivopontocerebellar atrophy. J Neurol Sci 53:253–272
Budka H, Sluga E, Heiss W-D (1976) Spastic paraplegia associated with Addison's disease: adult variant of adreno-leukodystrophy. J Neurol 213:237–250
Griffin JW, Goren E, Schaumburg HH, Engel WK, Loriaux L (1977) Adrenomyeloneuropathy: a probable variant of adrenoleukodystrophy. I. Clinical and endocrinologic aspects. Neurology (Minneap) 27:1107–1113
Igarashi M, Schaumburg HH, Powers JM, Kishimoto Y, Kolodny E, Suzuki K (1976) Fatty acid abnormality in adrenoleukodystrophy. J Neurochem 26:851–860
Kawamura N, Moser AB, Moser HW, Ogino T, Suzuki K, Schaumburg HH, Milunsky J, Kishimoto Y (1978) High concentration of hexacosanoate in cultured skin fibroblast lipids from adrenoleukodystrophy patients. Biochem Biophys Res Commun 82:114–120
Konigsmark BW (1970) The olivopontocerebellar atrophies: a review. Medicine 49:227–247
Kuroda S, Hirano A, Yuasa S (1983) Adrenoleukodystrophy—cerebello-brainstem dominant case. Acta Neuropathol 60:149–152
Marsden CD, Obeso JA, Lang AE (1982) Adrenoleukomyeloneuropathy presenting as spinocerebellar degeneration. Neurology (NY) 32:1031–1032
Moser HW, Moser AB, Frayer KK, Chen W, Schulman JD, O'Neill BP, Kishimoto Y (1981) Adrenoleukodystrophy: increased plasma content of saturated very long chain fatty acids. Neurology (NY) 31:1241–1249
O'Neill BP, Marmion LC, Feringa ER (1981) The adrenoleukomyeloneuropathy complex: expression in four generations. Neurology (NY) 31:151–156
Powers JM, Schaumburg HH (1973) The adrenal cortex in adrenoleukodystrophy. Arch Pathol 96:305–310
Schaumburg HH, Powers JM, Suzuki K, Raine CS (1974) Adreno-leukodystrophy (sex-linked Schilder disease). Ultrastructural demonstration of specific cytoplasmic inclusions in the central nervous system. Arch Neurol 31:210–213
Schaumburg HH, Powers JM, Raine CS, Spencer PS, Griffin JW, Prineas JW, Boehme DM (1977) Adrenomyeloneuropathy: a probable variant of adrenoleukodystrophy. II. General pathologic, neuropathologic, and biochemical aspects. Neurology (Minneap) 27:1114–1119
Tsuji S, Suzuki M, Sekine M, Ariga T, Kuriyama M, Miyatake T (1981) Abnormality of long chain fatty acids in erythrocyte membrane sphingomyelin from patient with adrenoleukodystrophy. J Neurochem 36:1046–10459
Tsuji S, Suzuki M, Sano T, Ariga T, Miyatake T (1981) Abnormality of very long-chain fatty acids in erythrocyte membrane and plasma, and increased synthesis of these fatty acids by cultured skin fibroblasts in adrenoleukodystrophy and adrenomyeloneuropathy. In: Yonezawa T (ed) International Symposium on the Leucodystrophy and Allied Diseases, Kyoto 1981, p 253
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ohno, T., Tsuchida, H., Fukuhara, N. et al. Adrenoleukodystrophy: a clinical variant presenting as olivopontocerebellar atrophy. J Neurol 231, 167–169 (1984). https://doi.org/10.1007/BF00313932
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00313932