Article
X-linked adrenoleukodystrophy as an etiological cause of progressive spastic paraplegia: A case report.
The Journal of international medical research - 1 Mar 2026
Chang Min Cheol, Yang Seoyon
Abstract excerpt
X-linked adrenoleukodystrophy is a rare peroxisomal disorder caused by mutations in ABCD1, thereby resulting in impaired β-oxidation of very long-chain fatty acids. Its adult-onset form, adrenomyeloneuropathy, typically presents as progressive spastic paraparesis that mimics hereditary spastic paraplegia. Brain and spinal magnetic resonance imaging findings are often unremarkable, contributing to diagnostic...
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