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J Korean Neurol Assoc. 2006 Jun;24(3):286-289. Korean. Case Report.
Moon JS , Lee JH , Kim MJ , Kim JK , Kim KS , Yoo BG .
Department of Neurology, Kosin University College of Medicine, Busan, Korea.

Adult-onset metachromatic leukodystrophy (MLD) is very rare with a combination of cognitive and behavioral symptoms and peripheral polyneuropathy. A 47-year-old man was admitted due to memory impairment, gait disturbance, dysarthria and personality changes for a period of 3 years. The arylsulfatase A level in his leukocytes was decreased. A brain MRI showed bilateral symmetrical demyelination but nerve conduction velocities (NCV) were normal. We report a very rare case of adult-onset MLD with normal NCV.

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