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Washington University Experience | METABOLIC | Neuronal Ceroid Lipofuscinosis (NCL) | 8A0 Case 8 History
Case 8 History (AANP 1974, Case 6) ---- The patient, a 48 year-old woman, was admitted to the hospital in July of 1973, complaining of bilateral claudication of the lower extremities. She gave a history of brittle diabetes of 25 years duration and was on insulin at the time of admission. The patient also complained of occasional blurring of vision and syncope. Her blood pressure while in the hospital varied from 140/80 to 90/60. Minimal sympathetic tone was noted in the lower extremities. A carotid arteriogram showed some atherosclerotic plaques in the carotid siphon bilaterally. Only minimal atherosclerotic changes were noted at the bifurcation of both common carotid arteries. The femoral arteriogram showed 50% occlusion of the distal 3 cm. of the aorta and complete occlusion of the right superficial femoral artery. Eight days after admission, an aortic bifurcation graft was placed and a right lumbar sympathectomy was performed. She was discharged 14 days later.
