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Enzyme Replacement Therapy Stabilized White Matter Lesion Progression in Fabry Disease
Author(s) -
Andreas Fellgiebel,
M Gartenschläger,
Kerstin Wildberger,
Armin Scheurich,
Robert J. Desnick,
Katherine B. Sims
Publication year - 2014
Publication title -
cerebrovascular diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 104
eISSN - 1421-9786
pISSN - 1015-9770
DOI - 10.1159/000369293
Subject(s) - medicine , enzyme replacement therapy , fabry disease , hyperintensity , placebo , stroke (engine) , left ventricular hypertrophy , cardiology , magnetic resonance imaging , population , surrogate endpoint , creatinine , pathology , radiology , disease , blood pressure , mechanical engineering , alternative medicine , environmental health , engineering
The central nervous system manifestations in Fabry disease (FD) include progressive white matter lesions (WMLs) and stroke. Due to progressive microvascular involvement, men and women with FD over 35 years of age develop WMLs. Moreover, the prevalence of stroke has been estimated to be 12 times higher in FD compared with the general population. Enzyme replacement therapy (ERT) is available and has shown beneficial effects on renal, cardiac, and peripheral nerve function in FD, but the ERT effect on the progression of WMLs, or the reduction in cerebrovascular events, remains unknown.

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