Autosomal recessive polymicrogyria with infantile spasms and limb deformities
F Ciardo1, N Zamponi, N Specchio
1Department of Neurosciences, Paediatric Neurology, Tor Vergata University of Roma, Roma, Italy.
Insights
Two siblings presented with polymicrogyria, limb deformities, infantile spasms, and developmental delay. Their shared, severe symptoms suggest a rare autosomal recessive malformation syndrome.
Area of Science:
- Neuroscience
- Genetics
- Pediatrics
Background:
- Describes a rare genetic disorder affecting siblings.
- Highlights the importance of identifying genetic causes for developmental disorders.
Observation:
- Two siblings (girl, 4 years; boy, 2 years 10 months) presented with identical, severe symptoms.
- Symptoms included diffuse polymicrogyria, lower limb deformities, infantile spasms, and global developmental delay.
Findings:
- Infantile spasms responded well to antiepileptic drug treatment.
- Normal results were observed in muscle biopsy, creatine kinase levels, metabolic investigations, and chromosomal analysis.
- The unique combination of features and familial occurrence suggests an autosomal recessive inheritance pattern.
Implications:
- This case suggests a novel autosomal recessive malformation syndrome.
- Further research is needed to identify the specific genetic mutation.
- Understanding this syndrome can aid in early diagnosis and management of affected children.
Abstract:
We describe two siblings, a girl and a boy, aged 4 and 2 years and 10 months respectively, born from non-consanguineous parents,with diffuse polymicrogyria, lower limb deformities, infantile spasms and developmental delay. Spasms had a good outcome under antiepileptic drug treatment. Clinical and imaging features were of identical severity in both siblings. Muscle biopsy,creatine kinase, metabolic investigations and chromosomal analysis were normal. This combination of anatomo-clinical features and their occurrence in siblings of both sexes suggests an autosomal recessive malformation syndrome.
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