J Korean Neurol Assoc > Volume 19(4); 2001 > Article

Journal of the Korean Neurological Association 2001;19(4): 427-430.

혈청 지방산수치로 확진된 Adrenomyeloneuropathy 1예

박희정, 고임석 이상현 권희경 조필자 선우일남*

국립의료원 신경과학교실,연세대학교 의과대학 신경과학교실*

"A Case of Adrenomyeloneuropathy Confirmed by Serum Very Long Chain Fatty Acids Level"

"Heue Jung Park, M.D., Im Seok Koh, M.D., Sang Hyeon Lee, M.D., Heue Kyung Kwon M.D.,Phil Za Cho, M.D., Il Nam Sunwoo, M.D.*"

"Department of Neurology, National Medical Center, Department of Neurology, Collage of Medicine, Yonsei University*"

Abstract

"A 31-year-old male patient was admitted to the department of neurology for progressive spastic paraparesis and sen-sory deficit in bilateral lower legs. On review of system, he had decreased libido and mild urinary frequency. On neuro-logic examination, he showed paraparesis, lower limb hypesthesia, bilateral hyperactive knee jerk and bilateral positive Babinski sign. The nerve conduction studies were sensori-motor demyelinating polyneuropathy. For spastic paraparesis and peripheral neuropathy, we approached adrenomyeloneuropathy and ascertained elevated serum very long chain fatty acids (VLCFA) level. J Korean Neurol Assoc 19(4):427~430, 2001 Key Words : Paraparesis/Spastic, Adrenomyeloneuropathy, Very long chain fatty acids"