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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2025-2-56-59</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4256</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НЕВРОЛОГИЯ И ПСИХИАТРИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEUROLOGY AND PSYCHIATRY</subject></subj-group></article-categories><title-group><article-title>Наследственная диффузная лейкоэнцефалопатия  с аксональными сфероидами: описание  клинического случая</article-title><trans-title-group xml:lang="en"><trans-title>Hereditary diffuse leukoencephalopathy with axonal spheroids:  description of a clinical case</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1176-4113</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Остапчук</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ostapchuk</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Остапчук Екатерина Сергеевна, к. м. н., доцент кафедры неврологии; зав. неврологическим отделением</p><p>г. Тюмень</p></bio><bio xml:lang="en"><p> Ostapchuk Ekaterina S., PhD Med, associate professor at Dept of Neurology; head. Nneurological Dept</p><p>Tyumen</p></bio><email xlink:type="simple">ostapchukes2008@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-8911-2007</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глинин</surname><given-names>О. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Glinin</surname><given-names>O. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Глинин Олег Павлович, врач-ординатор, невролог</p><p>г. Тюмень</p></bio><bio xml:lang="en"><p>Glinin Oleg P., resident physician, neurologist</p><p>Tyumen</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-4277-5857</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малахов</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Malahov</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Малахов Максим Владимирович, врач лучевой диагностики</p><p> г. Тюмень</p></bio><bio xml:lang="en"><p> Malahov Maxim V., radiologist</p><p>Tyumen</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава России;  ГБУЗ ТО «Областная клиническая больница № 1»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tyumen State Medical University, Tyumen; The Regional Clinical Hospital № 1</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tyumen State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГБУЗ ТО «Областная клиническая больница № 1»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>The Regional Clinical Hospital № 1</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>03</month><year>2025</year></pub-date><volume>0</volume><issue>2</issue><issue-title>«Неврология и психиатрия» (1)</issue-title><fpage>56</fpage><lpage>59</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Остапчук Е.С., Глинин О.П., Малахов М.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Остапчук Е.С., Глинин О.П., Малахов М.В.</copyright-holder><copyright-holder xml:lang="en">Ostapchuk E.S., Glinin O.P., Malahov M.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/4256">https://www.med-alphabet.com/jour/article/view/4256</self-uri><abstract><sec><title>Обоснование</title><p>Обоснование. Наследственная диффузная лейкоэнцефалопатия с аксональными сфероидами – генетически обусловленная мутация гена CSF1R с изменением белого вещества головного мозга. Основными исследованиями в постановке диагноза являются магнитно-резонансная томография (МРТ) головного мозга и генетическое исследование.</p><p> Описание клинического случая. Нами описан клинический случай наследственной диффузной лейкоэнцефалопатии с аксональными сфероидами у женщины, подтвержденный генетическими исследованиями. Клиническая картина проявлялась когнитивными, аффективными, двигательными нарушениями, судорожным синдромом.</p></sec><sec><title> Заключение</title><p> Заключение. Наследственные лейкоэнцефалопатии являются относительно редкими заболеваниями, понимание их патогенеза и клинической картины значительно расширило знания о нейродегенеративных заболеваниях.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Background</title><p>Background. Hereditary diffuse leukoencephalopathy with axonal spheroids is a genetically determined mutation of the CSF1R gene with changes in the white matter of the brain. The main tests in making a diagnosis are magnetic resonance imaging (MRI) of the brain and genetic testing.</p><p> Сlinical Сase Description. We have described a clinical case of hereditary diffuse leukoencephalopathy with axonal spheroids in a woman, confirmed by genetic studies. The clinical picture was manifested by cognitive, affective, motor disorders, and convulsive syndrome.</p></sec><sec><title> Conclusion</title><p> Conclusion. Hereditary leukoencephalopathies are relatively rare diseases, understanding their pathogenesis and clinical picture has significantly expanded knowledge about neurodegenerative diseases.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>лейкоэнцефалопатия</kwd><kwd>белое вещество головного мозга</kwd><kwd>нейродегенеративное заболевание</kwd></kwd-group><kwd-group xml:lang="en"><kwd>leukoencephalopathy</kwd><kwd>white matter of the brain</kwd><kwd>neurodegenerative disease</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Lynch D. S., Rodrigues B. A., Zhang W. J. Clinical and genetic characterization of leukoencephalopathies in adults. Brain. 2017; 140 (5): 1204–1211.</mixed-citation><mixed-citation xml:lang="en">Lynch D. S., Rodrigues B. A., Zhang W. J. Clinical and genetic characterization of leukoencephalopathies in adults. 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