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Childhood Neuro-developmental Disorder (Rett Syndrome): A Case Report
S M Rahman1, G K Kundu, S Akhter
1Dr Sk Masiur Rahman, Junior Consultant (Paediatrics), Upazilla Health Complex, Keshabpur, Jessore, Bangladesh;
Insights
Rett syndrome, a neurodevelopmental disorder, caused a 5.5-year-old girl to regress after 17 months. This case highlights the importance of early diagnosis for this rare condition.
Area of Science:
- Neuroscience
- Developmental Biology
- Genetics
Background:
- Rett syndrome is a rare neurodevelopmental disorder affecting early brain development.
- It is characterized by normal early development followed by regression of skills.
- The condition primarily impacts girls and is often associated with genetic mutations.
Observation:
- A 5.5-year-old girl presented with a history of normal development until 17 months of age.
- Following this period, she experienced developmental regression, losing acquired purposeful hand movements.
- Stereotyped hand movements and epilepsy were observed as key clinical features.
Findings:
- The case report details a unique presentation of Rett syndrome in a Bangladeshi child.
- The patient exhibited classic symptoms including loss of hand skills and onset of seizures.
- This represents the first documented case of Rett syndrome reported from Bangladesh.
Implications:
- Increased physician awareness, particularly among pediatricians, is crucial for early Rett syndrome diagnosis.
- Prompt diagnosis facilitates timely intervention and management strategies.
- Reporting rare cases aids in understanding the global prevalence and presentation of Rett syndrome.
Abstract:
Rett syndrome is a disorder of early brain development which is clinically characterized by arrested neuro-development. We found one such 5.5 years old girl whose physical and mental development was normal up to 17 months of age, followed by regression. She had lost her already acquired purposeful hand movements, appearance of stereotyped hand movements, along with development of epilepsy. To our knowledge such case is being reported for the first time from Bangladesh. The purpose of this case report is to increase awareness of this syndrome among physicians specially paediatricians, thereby aiding early diagnosis and treatment.
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