Volume 46, Issue 3 pp. 749-754
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An Autopsied Case of Dentatorubropallidoluysian Atrophy with Atypical Pathological Features

Katsuyoshi Mizukami M.D

Corresponding Author

Katsuyoshi Mizukami M.D

Department of Psychiatry, Institute of Clinical Medicine, University of Tsukuba, Tsukuba

Department of Psychiatry, Institute of Clinical Medicine, University of Tsukuba, 1–1–1 Tennodai, Tsukuba, Ibaraki 305, Japan.Search for more papers by this author
Megumi Sasaki M.D

Megumi Sasaki M.D

Department of Psychiatry, Institute of Clinical Medicine, University of Tsukuba, Tsukuba

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Hiroyasu Shiraishi M.D

Hiroyasu Shiraishi M.D

Department of Psychiatry, Institute of Clinical Medicine, University of Tsukuba, Tsukuba

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Junzo Koizumi M.D

Junzo Koizumi M.D

Department of Psychiatry, Institute of Clinical Medicine, University of Tsukuba, Tsukuba

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Takesaburo Ogata M.D

Takesaburo Ogata M.D

*Department of Pathology, Institute of Basic Medical Sciences, University of Tsukuba, Tsukuba

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Kenji Kosaka

Kenji Kosaka

**Department of Psychiatry and Neurology, Yokohama City University, School of Medicine, Yokohama

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Abstract

Abstract: This is a report of an autopsied case of dentatorubropallidoluysian atrophy (DRPLA) with atypical neuropathological Andings. The patients was a 31-year-old female. Her clinical symptoms were epileptic seizures, cerebellar ataxia, choreoathetosis and dementia. A neuropathological examination revealed the Abrillary gliosis in various areas of the CNS and severe degeneration in the cerebellar cortex and nucleus fwiculi dorsalis in addition to a marked degeneration of the dentatorubropallidoluysian systems. The present case is diagnosed neuropathologically as DRPLA associated with the flndings of chronic diphenylhydantoin intoxication and epileptic brain damage.

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