Neuropsychological outcomes of several storage diseases with and without bone marrow transplantation.

Abstract:

:Neuropsychological assessment is essential in providing documentation of the untreated natural history of storage diseases associated with dementia and quantifying the effectiveness of treatment on central nervous system function. Baseline characterization and outcome of bone marrow transplantation (BMT) for three leukodystrophies and three mucopolysaccharidoses are presented. Results suggests that BMT for Hurler syndrome, adrenoleukodystrophy, and globoid cell leukodystrophy can be effective in preventing dementia if done early enough in the disease. Sanfilippo and Hunter syndromes do not benefit and BMT is not recommended. For metachromatic leukodystrophy, BMT is not recommended for symptomatic early-onset forms of the disease. Further longitudinal follow-up is needed to determine whether the benefits outweigh the risks of BMT for late-onset and preclinical metachromatic leukodystrophy.

journal_name

J Inherit Metab Dis

authors

Shapiro EG,Lockman LA,Balthazor M,Krivit W

doi

10.1007/BF00710053

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

413-29

issue

4

eissn

0141-8955

issn

1573-2665

journal_volume

18

pub_type

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