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Status epilepticus in a child with Sanjad Sakati syndrome
Rajniti Prasad1, Chhaya Kumari, Om Prakash Mishra
1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Insights
Sanjad Sakati syndrome, a rare genetic disorder, can cause seizures and developmental delays. Early diagnosis and treatment with calcium and calcitriol can lead to complete recovery in affected children.
Area of Science:
- Pediatric Neurology
- Medical Genetics
- Endocrinology
Background:
- Sanjad Sakati syndrome (SSS) is a rare autosomal recessive disorder.
- Characterized by intellectual disability, growth retardation, hypoparathyroidism, and basal ganglia calcification.
- Often presents in childhood with neurological complications.
Observation:
- A 6-year-old boy presented with status epilepticus.
- Clinical features included facial dysmorphism, growth, and mental retardation.
- Cranial tomography revealed bilateral calcification of basal ganglia.
Findings:
- Laboratory investigations showed hypocalcemia and hypoparathyroidism.
- These findings, combined with imaging, were consistent with Sanjad Sakati syndrome.
- The patient experienced a complete recovery following treatment.
Implications:
- Highlights the importance of recognizing Sanjad Sakati syndrome in children with characteristic features.
- Demonstrates the efficacy of prompt management of hypocalcemia in preventing severe neurological sequelae.
- Emphasizes the need for multidisciplinary care for patients with rare genetic disorders.
Abstract:
We report a 6-year-old boy who presented with status epilepticus, who had facial dysmorphism, growth and mental retardation. On investigation, he had hypocalcaemia, hypoparathyroidism and bilateral calcification of basal ganglia in cranial tomographs; features consistent with Sanjad Sakati syndrome. He was treated with intravenous calcium gluconate initially followed by oral calcium and calcitriol and recovered completely.
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