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Pigment Variant of Neuronal Ceroid-Lipofuscinosis (Kufs’ Disease)

Published online by Cambridge University Press:  03 July 2018

Dikran S. Horoupian*
Affiliation:
Departments of Pathology and Medicine, Health Sciences Centre and Faculty of Medicine, University of Manitoba, Winnipeg, Canada
R. T. Ross
Affiliation:
Departments of Pathology and Medicine, Health Sciences Centre and Faculty of Medicine, University of Manitoba, Winnipeg, Canada
*
Dept. of Pathology, Rose F. Kennedy Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, N.Y. 10461.
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Summary

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A case of pigment variant of Kufs’ disease is presented. The nature of the extra-neuronal pigment is discussed. Despite some of the histochemical discrepancies that existed between this pigment and the material that had accumulated in the nerve cells, they seemed to he ultrastructurally related. The hepatocytes contained numerous heterogeneous cytosomes, some of which resembled the storage material of Niemann-Pick’s disease.

Clinically the syndrome may present with progressive ataxia, spontaneous and reflex, coarse myoclonic jerks and eventual mental deterioration as well as epilepsy and muscle wasting. The pigment variant cannot be distinguished from Kufs’ disease except pathologically.

Résumé

Résumé

Un cas de variante pigmentaire de la maladie de Kuf est présenté. La nature du pigment extraneuronal est discutée. Malgré quelques différences histochimiques ce pigment et le materiel qui était accumulé dans les cellules nerveuse semblaient être relies ultrastructurellement. Les hépatocytes contenaient un grand nombre de cytosomes hétérogènes, dont quelques-uns ressemblaient au matériel de surcharge de la maladie de Niemann-Pick.

Cliniquement, le syndrome peut présenter une ataxie progressive, des sursauts grossiers myocloniques spontanés et réflexes, et une détérioration mentale ainsi que de l’épilepsie qui ne peut être differentie de la maladie de Kufs sans morphologiquement.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1977

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