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Menkes kinky hair disease (Menkes syndrome). A case report
Petja Fister1, Jona Rakus, Zvonka Rener Primec
1University Children's Hospital, University Medical Centre Ljubljana, Vrazov trg 1, 1525 Ljubljana. petja_fister@yahoo.com
Abstract:
Menkes disease (MD) is a rare genetic neurodegenerative disorder. It is caused by a mutation in the ATP7A gene, which codes for the copper-transporting ATPase in the cell organelles. Dysfunction of many copper-dependent enzymes results in low concentrations of copper in some tissues and accumulation of copper in others. We report on a boy that at the age of 2 months presented with encephalopathy with epileptic seizures and later had a progressive developmental disorder. Despite treatment with various antiepileptic drugs, some seizures still persisted. Our diagnosis was made on the basis of clinical and laboratory findings. We also plan to confirm the diagnosis genetically. To the best of our knowledge, this is the first reported case of MD in Slovenia. Treatment of MD is usually not successful, especially in sporadic cases, because it usually begins too late. Early neonatal treatment may be successful in half of the cases.
Insights
Menkes disease (MD), a rare neurodegenerative disorder due to ATP7A gene mutations, presents challenges in diagnosis and treatment. Early intervention is crucial for potential success in managing this copper metabolism disorder.
Area of Science:
- Genetics
- Neuroscience
- Biochemistry
Background:
- Menkes disease (MD) is a rare, inherited neurodegenerative disorder.
- It stems from mutations in the ATP7A gene, impacting copper transport and enzyme function.
- Copper deficiency in some tissues and accumulation in others characterize MD.
Observation:
- A 2-month-old boy presented with encephalopathy and epileptic seizures.
- He experienced progressive developmental delay despite antiepileptic drug treatment.
- Clinical and laboratory findings suggested MD, pending genetic confirmation.
Findings:
- The case represents the first reported instance of Menkes disease in Slovenia.
- Diagnosis was established through clinical and laboratory evaluation.
- Genetic confirmation of the ATP7A mutation is planned.
Implications:
- Late diagnosis and treatment initiation often limit therapeutic success in Menkes disease.
- Early neonatal intervention offers a potential success rate of up to 50%.
- This case highlights the importance of timely diagnosis for rare genetic disorders.
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