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Jean J. Martin, MD
Department of Neurology

Jacques de Moor, MD
Department of Radiology University Hospital of Antwerp Antwerp, Belgium

Karel Jacobs, MD
Department of Neurology St Elisabeth Hospital Herentals, Belgium

Arch Neurol. 1982;39(8):530.

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

To the Editor.—

Metrizamide myelography combined with computed tomographic (CT) exploration of the spine can demonstrate the presence of a thin, possibly atrophic, spinal cord and rule out compression as the cause of spastic paraparesis noted in adrenomyeloneuropathy (AMN). We describe a man with AMN who was a member of an afflicted family to stress the diagnostic support provided by this combined radiologic procedure.

Report of a Case.—

A 21-year-old man complained of increasing paraparesis and sphincter disturbances. A pyramidal syndrome involved all four limbs with Babinski's signs. There was impaired proprioception in both legs and decreased exteroceptive sensations below thoracic level 10 on the right side and lumbar L-2 on the left side. Mental functions were normal. Premature incomplete baldness and a very thin beard were noted. There were no clinical signs of adrenal insufficiency. A brother and a first cousin of the patient suffered from adrenoleukodystrophy, while his . . . [Full Text PDF of this Article]

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