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Published on: July 6, 2022
Status epilepticus in fragile X syndrome
Magali Gauthey1, Claudia B Poloni, Gian-Paolo Ramelli
1Pediatric Emergencies Service, Child and Adolescent Department, University Hospital, Geneva, Switzerland.
Status epilepticus (SE) is rare in fragile X syndrome (FXS), an inherited intellectual disability. This study highlights five children with FXS experiencing SE as their first seizure, challenging its perceived exceptionality.
Area of Science:
- Neuroscience
- Genetics
- Pediatrics
Background:
- Fragile X syndrome (FXS) is the leading inherited cause of intellectual disability.
- Epilepsy is a common comorbidity in individuals with FXS.
- Status epilepticus (SE) is considered an infrequent occurrence in FXS, especially as an initial presentation.
Observation:
- This case series details five pediatric patients diagnosed with FXS.
- All five patients presented with SE as their first identifiable seizure event.
- Clinical features and electroencephalography (EEG) findings were documented for each case.
Findings:
- The occurrence of SE as the initial epileptic manifestation in FXS appears more frequent than previously reported.
- These cases expand the known spectrum of epilepsy presentations in FXS.
- EEG data provided insights into the neurological underpinnings of SE in this cohort.
Implications:
- Findings suggest a potential underdiagnosis or underreporting of SE in FXS.
- Highlights the need for increased awareness of SE as an initial presentation in FXS.
- May inform diagnostic and management strategies for epilepsy in FXS patients.
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