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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of Clinical and Experimental Neurology</journal-id><journal-title-group><journal-title xml:lang="en">Annals of Clinical and Experimental Neurology</journal-title><trans-title-group xml:lang="ru"><trans-title>Анналы клинической и экспериментальной неврологии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-5473</issn><issn publication-format="electronic">2409-2533</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">59</article-id><article-id pub-id-type="doi">10.17816/psaic59</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Unknown</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Adult-onset leukoencephalopathy with vanishing white matter</article-title><trans-title-group xml:lang="ru"><trans-title>Поздняя лейкоэнцефалопатия с исчезающим белым веществом</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rudenskaya</surname><given-names>Galina E.</given-names></name><name xml:lang="ru"><surname>Руденская</surname><given-names>Галина Евгеньевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>rudenskaya@med-gen.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zakharova</surname><given-names>E. Yu.</given-names></name><name xml:lang="ru"><surname>Захарова</surname><given-names>E. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>rudenskaya@med-gen.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Research Centre for Medical Genetics</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Медико-генетический научный центр им. Н.П. Бочкова»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2016-06-03" publication-format="electronic"><day>03</day><month>06</month><year>2016</year></pub-date><volume>10</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>46</fpage><lpage>51</lpage><history><date date-type="received" iso-8601-date="2017-01-31"><day>31</day><month>01</month><year>2017</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2016, Rudenskaya G.E., Zakharova E.Y.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2016, Rudenskaya G.E., Zakharova E.Y.</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="en">Rudenskaya G.E., Zakharova E.Y.</copyright-holder><copyright-holder xml:lang="ru">Rudenskaya G.E., Zakharova E.Y.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://annaly-nevrologii.com/pathID/article/view/59">https://annaly-nevrologii.com/pathID/article/view/59</self-uri><abstract xml:lang="en"><p>Leukoencephalopathy with vanishing white matter (LEVWM) is one of the most common hereditary leukoencephalopathies with characteristic MRI picture of diffuse white matter lesions with cystic degeneration. The disease is associated with EIF2B1-5 genes, encoding five subunits of EIF2B translation initiation factor. There are infantile, children’s (the most frequent one), and adult-onset forms. Adult-onset LE-VWM accounts for 15—20% of all cases and is characterized by significant clinical variability. In addition to neurological and cognitive disorders, this disease is characterized by ovarian failure. The review presents the clinical and molecular genetic aspects of adult-onset LE-VWM.</p></abstract><trans-abstract xml:lang="ru"><p>Лейкоэнцефалопатия с исчезающим белым веществом (ЛЭ-ИБВ) – одна из частых наследственных лейкоэнцефалопатий с характерной МРТ-картиной диффузного поражения белого вещества с кистозной дегенерацией. Болезнь связана с генами EIF2B1–5, кодирующими пять субъединиц фактора инициации трансляции EIF2B. Выделяют младенческую, детскую (самую частую) и позднюю формы. Поздняя ЛЭ-ИБВ составляет 15–20% всех случаев и отличается выраженным клиническим разнообразием. Помимо неврологических и когнитивных расстройств, для данного заболевания характерна яичниковая недостаточность. В обзоре представлены клинические и молекулярно-генетические аспекты поздней ЛЭ ИБВ.</p></trans-abstract><kwd-group xml:lang="en"><kwd>VWM</kwd><kwd>Leukoencephalopathy with vanishing white matter</kwd><kwd>adult-onset form, EIF2B1—5 gene mutations</kwd><kwd>MRI</kwd><kwd>clinical variability</kwd><kwd>ovarian failure</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>лейкоэнцефалопатия с исчезающим белым веществом</kwd><kwd>поздняя форма</kwd><kwd>мутации генов EIF2B1–5</kwd><kwd>МРТ</kwd><kwd>клиническое разнообразие</kwd><kwd>яичниковая недостаточность</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Михайлова С.В., Захарова Е.Ю., Петрухин А.С. Нейрометаболические заболевания у детей и подростков. Диагностика и подходы к лечению. 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