临床推理:一个23岁的女人出现认知障碍,步态障碍

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。

从神经学部门(D.K.C.首页,C.D.F.), The Mater Misericordiae University Hospital, Dublin, Ireland; Academic Unit of Neurology (C.D.F., S.O.), Trinity College Dublin, Ireland; Department of Neurophysiology (M.A.), Tallaght University Hospital, Dublin, Ireland; Department of Neuroradiology (J.W., S.O.), Tallaght University Hospital; Department of Neuropsychology (N.A.), The Mater Misericordiae University Hospital, Dublin, Ireland; National Centre for Inherited Metabolic Disorders Adult Service (J.O. G.P.), The Mater Misericordiae University Hospital, Dublin, Ireland; Department of Neurology (A.D.M.), Cork University Hospital, Cork, Ireland; and Department of Haematology (M.S.), Manchester Royal Infirmary,联合王国。