Practical Surgical Neuropathology: A Diagnostic Approach 2018
DOI: 10.1016/b978-0-323-44941-0.00024-2
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White Matter and Myelin Disorders

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“…Many central nervous system disorders stem from pathological changes in myelin structure, which can be broadly categorized into dysmyelination, when myelin is malformed and defective, and demyelination, when the initially normal myelin becomes destroyed [ 1 ]. Dysmyelinating conditions, also known as leukodystrophies, usually have a strong genetic component and, therefore, exhibit early developmental signs [ 2 4 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Many central nervous system disorders stem from pathological changes in myelin structure, which can be broadly categorized into dysmyelination, when myelin is malformed and defective, and demyelination, when the initially normal myelin becomes destroyed [ 1 ]. Dysmyelinating conditions, also known as leukodystrophies, usually have a strong genetic component and, therefore, exhibit early developmental signs [ 2 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…Myelin dysfunction in dysmyelinating conditions may be caused by a lack of a particular myelin constituent, e.g., of proteolipid protein 1 in Pelizaeus–Merzbacher disease [ 5 ], delay in myelination, as in Allan-Herndon-Dudley syndrome featuring mutations in the SLC16A2 gene that encodes a thyroid hormone transporter [ 6 ], or metabolic errors, as in Canavan disease, which is caused by mutations in the ASPA gene encoding aspartoacylase, an enzyme enriched in oligodendrocytes [ 7 ]. Demyelinating disorders, such as multiple sclerosis (MS), neuromyelitis optica and acute disseminated encephalomyelitis, usually occur in adults and may be caused by autoimmune processes and infections, with a contribution of genetic, environmental, and dietary factors [ 1 , 8 13 ]. Furthermore, other conditions, such as genetic leukoencephalopathies and certain metabolic disorders, also present with myelination defects, though myelin disturbances follow abnormal neuronal development, neuronal loss and profound systemic abnormalities [ 14 ].…”
Section: Introductionmentioning
confidence: 99%