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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">r-n-j</journal-id><journal-title-group><journal-title xml:lang="ru">Российский неврологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian neurological journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2658-7947</issn><issn pub-type="epub">2686-7192</issn><publisher><publisher-name>МИА</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/2658-7947-2025-30-4-44-50</article-id><article-id custom-type="elpub" pub-id-type="custom">r-n-j-729</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>ИССЛЕДОВАНИЯ И КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL RESEARCHES AND CASE REPORTS</subject></subj-group></article-categories><title-group><article-title>Пантотенат киназа-ассоциированная нейродегенерация</article-title><trans-title-group xml:lang="en"><trans-title>Pantothenate kinase-associated neurodegeneration</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8469-1635</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новикова</surname><given-names>Л. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Novikova</surname><given-names>L. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа, Россия</p></bio><bio xml:lang="en"><p>Ufa, Russia</p></bio><email xlink:type="simple">novicova@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акопян</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Akopyan</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа, Россия</p></bio><bio xml:lang="en"><p>Ufa, Russia</p></bio><email xlink:type="simple">ano-akopian@yandex.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/0000-0002-8552-6233</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зюльцле</surname><given-names>К. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Ziultsle</surname><given-names>K. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа, Россия</p></bio><bio xml:lang="en"><p>Ufa, Russia</p></bio><email xlink:type="simple">sharapovakarina.2020@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Башкирский государственный медицинский университет<country>Россия</country></aff><aff xml:lang="en">Bashkir State Medical University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>04</day><month>10</month><year>2025</year></pub-date><volume>30</volume><issue>4</issue><fpage>44</fpage><lpage>50</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Новикова Л.Б., Акопян А.П., Зюльцле К.М., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Новикова Л.Б., Акопян А.П., Зюльцле К.М.</copyright-holder><copyright-holder xml:lang="en">Novikova L.B., Akopyan A.P., Ziultsle K.M.</copyright-holder><license 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.r-n-j.com/jour/article/view/729">https://www.r-n-j.com/jour/article/view/729</self-uri><abstract><p>Представлено описание клинического случая атипичной поздней формы, пантотенаткиназа-ассоциированной нейродегенерации (ПКАН) в терминальной стадии с дебютом на четвертом десятилетии жизни и быстропрогрессирующим течением. Наиболее характерными признаками заболевания у данной пациентки были синдром паркинсонизма, пирамидная симптоматика, различные гиперкинезы, снижение когнитивных функций, депрессия. При обосновании диагноза опирались на характерную клиническую картину и типичные МРТ — признаки в виде симптома «глаза тигра». В связи с отсутствием в настоящее время эффективных методов лечения больная получала симптоматическое лечение.</p></abstract><trans-abstract xml:lang="en"><p>The article presents a description of a clinical case of atypical late form of pantothenate kinase-associated neurodegeneration (PKAN) in the terminal stage with debut in the fourth decade of life and rapidly progressive course. The most characteristic signs of the disease in this patient were parkinsonism syndrome, pyramidal symptoms, various hyperkinesis, decreased cognitive functions, depression. The diagnosis was based on the characteristic clinical picture and typical MRI signs in the form of the “tiger eye” symptom. Due to the lack of eff ective treatment methods at present, the patient received symptomatic treatment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>пантотенаткиназа-ассоциированная нейродегенерация (PKAN)</kwd><kwd>отложение железа</kwd><kwd>паркинсонизм</kwd><kwd>МРТ — симптом «глаза тигра»</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pantothenate kinase-associated neurodegeneration (PKAN)</kwd><kwd>iron deposition</kwd><kwd>parkinsonism</kwd><kwd>MRI symptom of “tiger eye”</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">Kolarova H., Tan J., Strom T.M., Meitinger T., Wagner M., Klopstock T. Lifetime risk of autosomal recessive neurodegeneration with brain iron accumulation (NBIA) disorders calculated from genetic databases. 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