title: Extensive brain pathology in a patient with aceruloplasminemia with a prolonged duration of illness.
abstract: We report the sixth autopsy case of a patient with aceruloplasminemia. He was the younger brother of the first reported autopsy case of this disease. Among autopsy cases with aceruloplasminemia reported to date, he had the longest duration of neurologic disorders. The neuropathologic findings showed that the basal ganglia and dentate nuclei were most severely affected. The most striking finding in the present case was that marked iron deposition was evident in the cerebral cortex. Many enlarged or deformed astrocytes and globular structures, both of which were heavily iron loaded, were found in the cerebral cortex as well as in the basal ganglia. Pyramidal neurons in his cerebral cortex were fewer in number than observed in the previous reported cases. There was a negative correlation between the number of cortical pyramidal neurons and globular structures. The present case clearly indicates that the neuropathologic process in aceruloplasminemia extends beyond the basal ganglia to the cerebral cortex with time.
authors: Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto 390-8621, Japan. kazuma@suwa.jrc.or.jp
authors: Kazuma
authors: K
authors: Kaneko
authors: Akiyo
authors: A
authors: Hineno
authors: Kunihiro
authors: K
authors: Yoshida
authors: Shinji
authors: S
authors: Ohara
authors: Hiroshi
authors: H
authors: Morita
authors: Shu-ichi
authors: S
authors: Ikeda
mesh_terms: D001479:Basal Ganglia / Q000378:metabolism / Q000473:pathology; D001927:Brain Diseases / Q000150:complications / Q000378:metabolism / Q000473:pathology*; D001996:Bronchopneumonia / Q000150:complications / Q000473:pathology; D002529:Cerebellar Nuclei / Q000378:metabolism / Q000473:pathology; D002540:Cerebral Cortex / Q000378:metabolism / Q000473:pathology*; D002570:Ceruloplasmin / Q000172:deficiency / Q000378:metabolism; D017809:Fatal Outcome; D006801:Humans; D007501:Iron / Q000378:metabolism; D019189:Iron Metabolism Disorders / Q000150:complications / Q000378:metabolism / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D019636:Neurodegenerative Diseases / Q000150:complications / Q000378:metabolism / Q000473:pathology*; D013997:Time Factors
chemical_list: D007501:Iron; D002570:Ceruloplasmin