Article
[Posterior-predominant leukoencephalopathy which was caused by methylenetetrahydrofolate reductase deficiency and successfully treated with folic acid].
Rinsho shinkeigaku = Clinical neurology - 1 Jan 2014
Tamura Asako, Sasaki Ryogen, Kagawa Ken, Nakatani Kaname, Osaka Hitoshi, Tomimoto Hidekazu
Abstract excerpt
A 35-year-old woman was admitted with subacute intellectual deterioration. Laboratory studies showed elevated total homocysteine and decreased folic acid. MRI revealed leukoencephalopathy with a posterior predominance, and hyperintensity in the pyramidal tracts on T2-weighted and FLAIR images. The enzyme assay showed a deficiency of methylenetetrahydrofolate reductase (MTHFR) activity with low residual activity...
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