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Morphologic and Biochemical Studies in the Visceral Form With Late Central Nervous System Involvement (Crocker's Group C)

M. Philippart, MD; L. Martin, MD; J. J. Martin, MD; John H. Menkes, MD

Arch Neurol. 1969;20(3):227-238.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

NIEMANN-PICK disease is characterized by the accumulation of sphingomyelin in the reticuloendothelial system of the liver, spleen, bone marrow, and lymph nodes. Alterations in the brain are variable and range from no involvement to a picture of a diffuse neuronal storage disease. Over the last ten years it has become evident that Niemann-Pick disease does not represent a single clinical and biochemical entity, but that there may at least be four conditions in which there is tissue storage of sphingomyelin.^1-3

About 85% of patients fall into group A¹ (classic Niemann-Pick disease) characterized by the onset of hepatosplenomegaly during the first year of life, intellectual deterioration, and the frequent presence of retinal cherry-red spots. Death usually occurs prior to 3 years of age. The essential pathological changes in this condition are the massive and generalized deposition of foam cells, and the presence of ballooned ganglion cells in various . . . [Full Text PDF of this Article]

Author Affiliations
Los Angeles; Antwerp, Belgium; Los Angeles

From the Department of Pediatrics and Medicine (Neurology), the University of California at Los Angeles (Drs. Philippart and Menkes) and the Department of Neuropathology, Born-Bunge Foundation, Berchem-Antwerp (Dr. L. Martin). Dr. J. J. Martin is a Research Fellow, Belgian FNRS.

Footnotes
Submitted for publication Sept 30, 1968; accepted Oct 17.

Read before the 20th Meeting of the American Academy of Neurology, April 26, 1968.

Reprint requests to Department of Pediatrics, University of California, Los Angeles 90024 (Dr. Philippart).

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