Stabilization of juvenile metachromatic leukodystrophy after bone marrow transplantation: a 13-year follow-up.
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Stabilization of juvenile metachromatic leukodystrophy after bone marrow transplantation: a 13-year follow-up. / Görg, Maria; Wilck, Wanja; Granitzny, Barbara; Suerken, Anne; Lukacs, Zoltan; Ding, Xiaoqi; Schulte-Markwort, Michael; Kohlschütter, Alfried.
in: J CHILD NEUROL, Jahrgang 22, Nr. 9, 9, 2007, S. 1139-1142.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Stabilization of juvenile metachromatic leukodystrophy after bone marrow transplantation: a 13-year follow-up.
AU - Görg, Maria
AU - Wilck, Wanja
AU - Granitzny, Barbara
AU - Suerken, Anne
AU - Lukacs, Zoltan
AU - Ding, Xiaoqi
AU - Schulte-Markwort, Michael
AU - Kohlschütter, Alfried
PY - 2007
Y1 - 2007
N2 - A 29-year-old female patient with juvenile metachromatic leukodystrophy diagnosed at age 14 years received a bone marrow transplant at age 16 years. A report was published 6 years after bone marrow transplantation concluding that the disease had slowly progressed in the 2 years following bone marrow transplantation. We now report on a further 7-year follow-up, typified by a steady state of spastic paraplegia and mild dementia. Neurophysiological, neuroradiological, and psychological status also remained stable. In the patient's leukocytes, the activity of arylsulfatase A, the enzyme deficient in untreated metachromatic leukodystrophy, was within the normal range whereas urinary sulfatides remained elevated. Data on the natural course of juvenile metachromatic leukodystrophy are rare, so in the present case it is difficult to establish whether the rather favorable course can be attributed with certainty to bone marrow transplantation. The long-term stabilization in this patient, however, suggested that bone marrow transplantation may halt the progression of juvenile metachromatic leukodystrophy.
AB - A 29-year-old female patient with juvenile metachromatic leukodystrophy diagnosed at age 14 years received a bone marrow transplant at age 16 years. A report was published 6 years after bone marrow transplantation concluding that the disease had slowly progressed in the 2 years following bone marrow transplantation. We now report on a further 7-year follow-up, typified by a steady state of spastic paraplegia and mild dementia. Neurophysiological, neuroradiological, and psychological status also remained stable. In the patient's leukocytes, the activity of arylsulfatase A, the enzyme deficient in untreated metachromatic leukodystrophy, was within the normal range whereas urinary sulfatides remained elevated. Data on the natural course of juvenile metachromatic leukodystrophy are rare, so in the present case it is difficult to establish whether the rather favorable course can be attributed with certainty to bone marrow transplantation. The long-term stabilization in this patient, however, suggested that bone marrow transplantation may halt the progression of juvenile metachromatic leukodystrophy.
M3 - SCORING: Zeitschriftenaufsatz
VL - 22
SP - 1139
EP - 1142
JO - J CHILD NEUROL
JF - J CHILD NEUROL
SN - 0883-0738
IS - 9
M1 - 9
ER -