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Leukoencephalopathy with brain stem and spinal cord involvement and lactate elevation (clinical case)

https://doi.org/10.25694/URMJ.2018.11.23

Abstract

Firstly described by Van Berge et al. in 2003, leukoencephalopathy with brain stem and spinal cord involvement and lactate elevation (LBSL) is an autosomal recessive inherited leukoencephalopathy caused by compound heterozygous mutations in the DARS2gene, which codes the mitochondrial aspartyl-tRNA synthetase. The disease is included in a list of rare diseases that have been established by TheMinistry of Health. LBSL mainly affects children and juvenile patients with a slow progressive cerebellar ataxia with spastic paraparesis and proprioceptive loss. The diagnosis of LBSL can be made with confidence in persons with characteristic abnormalities observed on brain and spinal cord MRI and genetic test. The treatment of LBSL doesn’t exist.

About the Authors

E. Yu. Moskvina
ФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России
Russian Federation


A. V. Dmitriev
ГБУЗ СО «Свердловская областная клиническая больница № 1»
Russian Federation


L. I. Volkova
ФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России
Russian Federation


References

1. VanBerge L., Hamilton E.M., Linnankivi T. et al. Leukoencephalopathy with brainstem and spinal cord involvement and lactate elevation: clinical and genetic characterization and target for therapy, Brain, 2014; 137: 1019-29.

2. Михайлова С.В., Захарова Е.Ю. Клинические проявления и молекулярно-генетическая диагностика лейкоэнцефалопатия с преимущественным поражением ствола мозга, спинного мозга и повышенным содержанием лактата у детей. Клиника нервных и психических болезней, 2009; 9: 16-22.

3. The Human Phenotype Ontology (2018). Available at: https://hpo.jax./app/ (accessed 9 October 2018).

4. Van der Knaap M.S., van der Voorn P., Barkhof F. еt al. A new leukoencephalopathy with brainstem and spinal cord involvement and high lactate. Annals of neurology. 2002; 53(2): 252-8.

5. Steenweg M.E., van Berge L., van Berkel C.G. et al. Earlyonset LBSL: how severe does it get? Neuropediatrics. 2012; 43(6): 332-8.

6. Kassem H., Wafaie A., Abdelfattah S., Farid T. Leukoencephalopathy with brainstem and spinal cord involvement and lactate elevation (LBSL): assessment of the involved white matter tracts by MRI. European journal of radiology 2014; 83(1): 191-6.


Review

For citations:


Moskvina EY, Dmitriev AV, Volkova LI. Leukoencephalopathy with brain stem and spinal cord involvement and lactate elevation (clinical case). Ural Medical Journal. 2018;(11):57-59. (In Russ.) https://doi.org/10.25694/URMJ.2018.11.23

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ISSN 2071-5943 (Print)
ISSN 2949-4389 (Online)